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LAPAROSCOPIC APPROACH TO ADRENALECTOMIES PANCREATIC SURGERY

机译:腹腔镜切除术和胰腺手术的腹腔镜探讨

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The open approach to adrenalectomy is usually a ventral midline one that allows concurrent exploration o f the abdominal cavity. The deep location, fragile capsule, proximity to other viscera (liver, kidney, pancreas), and adjacent vessels (phrenicoabdominal, renal, vena cava) require long abdominal incision for adequate and safe exposure. Laparoscopy can be done for exploration of the abdominal cavity, with subsequent adrenalectomy upon repositioning of the patient. Laparoscopy provides great lighting advantage of the deep location of the adrenal as well as magnification. The surrounding organs are mostly retracted by gravity, leaving the adjacent vessels as the main barrier to laparoscopic adrenalectomy. Vascular invasion is a clear contraindication to laparoscopic removal; including contrast CT in our veterinary patients may increase the ability to diagnose vascular invasion prior to laparoscopic exploration.
机译:肾上腺切除术的开放方法通常是腹侧中线,允许腹腔并发探索。深入的位置,脆弱胶囊,接近其他内脏(肝脏,肾,胰腺)和相邻容器(Phrenicoaboominal,肾,腔静脉)需要长期腹部切口进行充分和安全的暴露。腹腔镜检查可以进行腹腔探测腹腔,随后在重新定位患者时肾上腺切除术。腹腔镜检查提供肾上腺和放大倍数的良好照明优势。周围的器官主要由重力缩回,使邻近的容器作为腹腔镜肾上腺切除术的主要屏障。血管侵袭是腹腔镜移除的明显禁忌症;包括在兽医患者中的对比度CT可能会在腹腔镜勘探之前诊断血管侵袭的能力。

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