후복막 접근법을 통한 복강경 부신절제술의 초기 경험

김태형; 이초록; 박슬기; 박재현; 정준수; 강상욱; 정종주; 남기현; 정웅윤; 박정수

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자료유형: 학술저널

저자정보: 김태형 이초록 박슬기 박재현 정준수 강상욱 정종주 남기현 정웅윤 박정수

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제11권 제4호

발행연도: 2011.1

수록면: 287 - 291 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

초록· 키워드

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Purpose: Posterior retroperitoneoscopic adrenalectomy (PRA) for small adrenal tumors has recently been in the spotlight due to its several benefits. Compelling advantages for endoscopic surgeons include direct, safe, and fast approach to the adrenal gland without trespass to the intraperitoneal organ. This study reports our initial experiences of PRA for the management of adrenal tumors.Methods: From December 2009 to August 2011, 63 patients underwent PRA for the management of adrenal tumor. Among these patients, laparoscopic adrenalectomy and robotic adrenalectomy were performed in 54 and nine patients, respectively. We retrospectively reviewed records of all surgical outcomes.Results: Of the 54 patients, 22 were male and 32 were female, and mean age was 51.7±14.0 years. Mean body mass index was 24.6±3.6 kg/m2 and mean dimension of the tumors was 2.66±1.36 cm. Six patients were diagnosed with Cushing’s disease, 22 patients with primary aldosteronism, seven patients with pheochromocytoma, one patient with metastatic adrenal gland cancer, and 18 patients with nonfunctioning adrenal tumors. Mean operative time was 88.5±27.1 min, mean blood loss was 17.4±37.4 ml, and mean duration to first oral intake was 0.83±0.4 days. Mean number of postoperative analgesics used was 2.28±2.54, and mean postoperative hospital stay was 2.85±1.43 days. There was no open conversion during the operation and no post-operative complication.Conclusion: PRA is a safe and fast procedure. In experienced hands, PRA represents one of the ideal approaching methods in the adrenal gland surgery. (Korean J Endocrine Surg 2011;11:287-291)

#부신 종양 #후복막 부신절제술 #Adrenal gland tumor #Posterior retroperitoneoscopic adrenalectomy

참고문헌 (22)

참고문헌 신청

Berber E / 2009 / Comparison of laparoscopic transabdominal lateral versus posterior retroperitoneal adrenalectomy / Surgery 146 : 621 ~ 625

Berber E / 2010 / Robotic posterior retroperitoneal adrenalectomy: operative technique / Arch Surg 145 : 781 ~ 784

Del Pizzo JJ / 2003 / Transabdominal laparoscopic adrenalectomy / Curr Urol Rep 4 : 81 ~ 86

Fernandez-Cruz L / 1996 / Laparoscopic unilateral and bilateral adrenalectomy for Cushing's syndrome. Transperitoneal and retroperitoneal approaches / Ann Surg 224 : 727 ~ 7

Gagner M / 1992 / Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma / N Engl J Med 327 : 1033 ~