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首页> 外文期刊>Surgical Endoscopy >Laparoscopic partial or cortical-sparing adrenalectomy by dividing the adrenal central vein.
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Laparoscopic partial or cortical-sparing adrenalectomy by dividing the adrenal central vein.

机译：腹腔镜部分或保留皮质的肾上腺切除术通过分割肾上腺中央静脉。

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BACKGROUND: We perform laparoscopic partial adrenalectomy without sectioning the adrenal central vein has been described because it is important to preserve this vein in the remnant adrenal gland in order to maintain its function. In this article, we describe our technique for laparoscopic partial or cortical-sparing adrenalectomy by dividing the adrenal central vein. METHODS: The procedures were performed in four patients with aldosterone-producing adenomas (APA) and two patients with pheochromocytomas. RESULTS: There were no postoperative complications. At follow-up, adrenal 131I-adosterol scintigrams showed that remnant adrenal function had been preserved in all cases. CONCLUSION: Since the vascular bed adjacent to the remnant adrenal gland is integral to the preservation of its function, it is important to perform procedures that do not separate the remnant adrenal gland from the retroperitonium space. Because the operative field is clearly visualized on the high-magnification video monitor, this delicate procedure can be performed with a high degree of accuracy via the laparoscopic approach. We consider this operative technique to be useful for selected cases.
机译：背景：我们已经进行了腹腔镜部分肾上腺切除术，而没有切除肾上腺中央静脉，因为对维持该静脉在残余的肾上腺以维持其功能非常重要。在本文中，我们通过分割肾上腺中心静脉描述了用于腹腔镜部分或保留皮质的肾上腺切除术的技术。方法：对4例醛固酮产生腺瘤（APA）和2例嗜铬细胞瘤患者进行了手术。结果：无术后并发症。随访中，肾上腺131I-甾醇闪烁图显示在所有情况下均保留了残余的肾上腺功能。结论：由于邻近残余肾上腺的血管床是维持其功能必不可少的，因此重要的是执行不将残余肾上腺与腹膜后间隙分开的手术。由于在高倍率视频监视器上可以清楚地看到手术区域，因此可以通过腹腔镜方法以高度准确的方式执行此精细操作。我们认为这种手术技术对某些病例很有用。

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