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首页> 外文期刊>Surgical Endoscopy >Retroperitoneal hand-assisted laparoscopic surgery for endoscopic adrenalectomy.
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Retroperitoneal hand-assisted laparoscopic surgery for endoscopic adrenalectomy.

机译：腹膜后手腹腔镜内窥镜肾上腺切除术。

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摘要

Although hand-assisted laparoscopic surgery (HALS) is very common in various laparoscopic procedures, it is rarely used for retroperitoneal endoscopic adrenalectomy because of the small working area. The authors evaluate HALS in endoscopic adrenalectomy with respect to its use as a rescue procedure in complicated cases. In their department, 47 patients underwent endoscopic adrenalectomies between 1998 and 2004. Mainly because of complicated anatomy, three primary aldosteronism cases were converted to retroperitoneal HALS. This involved making an additional 6 cm skin incision, into which the surgeon's left hand was inserted, with the palm used to create a sufficient visual field and working area. The fingers were used for tactile sensation and blunt resection. For these three cases, successful retroperitoneal HALS in endoscopic adrenalectomy resulted in no mortality or morbidity. These findings indicate that this procedure is a feasible technique for complicated benign adrenal tumor cases.
机译：尽管手助腹腔镜手术（HALS）在各种腹腔镜手术中非常普遍，但由于工作区域较小，因此很少用于腹膜后内镜肾上腺切除术。作者评估了内镜下肾上腺切除术中HALS在复杂病例中作为抢救程序的用途。在其科室中，1998年至2004年间有47例患者接受了内镜下肾上腺切除术。主要由于解剖结构复杂，三例原发性醛固酮增多症病例被转换为腹膜后HALS。这涉及另外做一个6厘米的皮肤切口，外科医生的左手插入其中，用手掌创造足够的视野和工作区域。手指用于触觉和钝性切除。对于这三例病例，在内镜下肾上腺切除术中成功腹膜后HALS不会导致死亡或发病。这些发现表明该程序对于复杂的良性肾上腺肿瘤病例是可行的技术。

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