Bendinelli C, Materazzi G, Puccini M, Iacconi P, Buccianti P, Miccoli P
Dipartimento di Chirurgia, Università degli Studi, Pisa.
Minerva Chir. 1998 Nov;53(11):871-5.
After 3 years from the introduction of laparoscopic adrenalectomy in an endocrine surgery unit the results are retrospectively compared with those achieved by traditional techniques with the aim of comparing the respective advantages.
During this period 68 laparoscopic adrenalectomies have been performed. The main pre-, intra- e postoperative parameters of the adrenalectomies for benign neoplasm have been examined. Mean follow-up was 51 months (65.3 for open adrenalectomy and 18.8 for laparoscopic).
Statistical studies were homogeneous between the two groups. The laparoscopic adrenalectomy--with the same effectiveness--thanks to less peritoneum and parietal stress, is followed by fewer postoperative complications, faster resumption of biological functions, earlier return to work and better cosmetic results.
On the basis of our personal experience laparoscopic adrenalectomy is to be considered the treatment of choice in the majority of adrenal benign neoplasms.
在内分泌外科引入腹腔镜肾上腺切除术后3年，对其结果进行回顾性分析，并与传统技术的结果进行比较，以比较各自的优势。
在此期间共进行了68例腹腔镜肾上腺切除术。对肾上腺良性肿瘤切除术的主要术前、术中和术后参数进行了检查。平均随访时间为51个月（开放肾上腺切除术为65.3个月，腹腔镜肾上腺切除术为18.8个月）。
两组间的统计学研究具有同质性。腹腔镜肾上腺切除术在疗效相同的情况下，由于腹膜和腹壁应激较小，术后并发症较少，生物功能恢复较快，恢复工作较早，美容效果较好。
基于我们的个人经验，腹腔镜肾上腺切除术应被视为大多数肾上腺良性肿瘤的首选治疗方法。
