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首页> 外文期刊>Abdominal radiology. >What the radiologist needs to know: the role of preoperative computed tomography in selection of operative approach for adrenalectomy and review of operative techniques
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What the radiologist needs to know: the role of preoperative computed tomography in selection of operative approach for adrenalectomy and review of operative techniques

机译：放射科医师需要知道的内容：术前计算断层扫描在肾上腺切除术的选择中的作用和操作技术综述

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摘要

Adrenalectomy is the standard of care for management of many adrenal tumor types and, in the United States alone, approximately 6000 adrenal surgeries are performed annually. Two general approaches to adrenalectomy have been described; (1) the open approach, in which a diseased adrenal is removed through a large (10-20 cm) abdominal wall incision, and (2) the minimally invasive approach, in which laparoscopy is used to excise the gland through incisions generally no longer than 1-2 cm. Given these disparate technique options, clear preoperative characterization of those specific disease features that inform selection of adrenalectomy approach is critically important to the surgeon. Because most of these features are directly assessed via preoperative abdominal imaging, in particular computed tomography (CT) scanning, a clear mutual understanding among surgeons and radiologists of those adrenal tumor features impacting operative approach selection is vital for planning adrenal surgery. In this context, we review the preoperative CT imaging features that specifically inform adrenalectomy approach selection, provide illustrative examples from our institution's imaging and surgical archives, and provide a stepwise guide to both the open and laparoscopic adrenalectomy approaches.
机译：肾上腺切除术是许多肾上腺肿瘤类型管理的护理标准，在美国单独，每年进行大约6000种肾上腺手术。已经描述了两种肾上腺切除术的一般方法; （1）通过大（10-20厘米）腹壁切口除去患病肾上腺的开放方法，以及（2）最微创的方法，其中腹腔镜检查通过切口不再通过切口消除腺体。比1-2厘米。鉴于这些不同的技术选择，清楚地表征这些特定疾病的特征，这些特征可通知肾上腺切除术方法的选择对外科医生至关重要。由于大多数这些特征通过术前腹部成像直接评估，特别是计算断层摄影（CT）扫描，因此对肾上腺肿瘤特征的外科医生和放射科学家之间的明显相互理解是对规划肾上腺手术至关重要。在这种情况下，我们审查了专门向肾上腺切除术方法选择的术前CT成像特征，提供了来自我们机构的成像和手术档案的说明性示例，并为开放和腹腔镜肾上腺切除术方法提供逐步指南。

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