Yoshimura K, Yoshioka T, Miyake O, Matsumiya K, Miki T, Okuyama A
Department of Urology, Osaka University Medical School, Suita, Japan.
J Endourol. 1998 Dec;12(6):555-9. doi: 10.1089/end.1998.12.555.
From September 1992 to November 1996, 28 patients underwent laparoscopic adrenalectomy at Osaka University Medical Hospital. They were compared with 25 instances of conventional open surgery performed between May 1990 and April 1996 at the same institution. Laparoscopic adrenalectomy was performed via either a transperitoneal or a retroperitoneal approach. The mean operative time of 375 minutes for laparoscopic adrenalectomy was significantly longer than that of 133 minutes for open surgery. The average hospital stay for laparoscopic surgery was significantly shorter than that of conventional open adrenalectomy. The convalescent period was also significantly shorter in the patients who had laparoscopic adrenalectomy. There was no statistical difference in blood loss during the operation or the number of doses of analgesics administered after operation in the two groups. We conclude that laparoscopic adrenalectomy is one of the options to be selected in surgically managing adrenal tumors. Laparoscopic adrenalectomy could become a standard operative procedure as instruments and techniques of laparoscopy improve significantly.
1992年9月至1996年11月期间，28例患者在大阪大学医学部附属医院接受了腹腔镜肾上腺切除术。将他们与1990年5月至1996年4月在同一机构进行的25例传统开放手术病例进行了比较。腹腔镜肾上腺切除术通过经腹或腹膜后途径进行。腹腔镜肾上腺切除术的平均手术时间为375分钟，明显长于开放手术的133分钟。腹腔镜手术的平均住院时间明显短于传统开放性肾上腺切除术。接受腹腔镜肾上腺切除术的患者的恢复期也明显较短。两组手术期间的失血量或术后给予的镇痛剂剂量数无统计学差异。我们得出结论，腹腔镜肾上腺切除术是手术治疗肾上腺肿瘤时可供选择的方法之一。随着腹腔镜仪器和技术的显著改进，腹腔镜肾上腺切除术可能会成为一种标准的手术方法。
