Single incision for trans-peritoneal laparoscopic adrenalectomy in treatment of adrenal tumors
- VernacularTitle:单切口经腹膜内途径腹腔镜下切除肾上腺肿瘤的初步尝试
- Author:
Danfeng XU
;
Yao LI
;
Yi GAO
;
Lei YIN
;
Jianping CHE
;
Jizhong REN
;
Yushan LIU
;
Yacheng YAO
;
Xingang CUI
;
Huaining TENG
;
Jie CHEN
;
Junkai WANG
;
Yu XU
;
Lijun PENG
;
Zhilian MIN
- Publication Type:Journal Article
- Keywords:
single incision;
laparoscopy;
peritoneal;
adrenal gland neoplasms
- From:
Academic Journal of Second Military Medical University
2000;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To perform trans-peritoneal laparoscopic adrenalectomy via a single incision in treatment of adrenal tumors,and to discuss its clinical outcome and safety.Methods:Single incision trans-peritoneal laparoscopic adrenalectomy was used in treatment of three patients with adrenal tumors.The incision was made 3 cm below the costal margin of anterior axillary line; three Tocars were placed in the cut.The instruments used included single port access,CUSA,Hem-o-lok,etc..Results:The three operations were all successful,and there were no conversion to open procedure or a need for extra Ttrocars.The operating time periods were 75,116,and 135 min,with a mean of (108.7?30.7)min.The perioperative blood losses were 10,20,and 30 ml,with a mean of (20?10)ml.The gastric canal and ureteral catheter were withdrew one day after operation,and the drainage tube was withdrew 3 d after operation.The mean postoperative hospital stay was 4 d.Conclusion:Single incision trans-peritoneal laparoscopic adrenalectomy has the advantage of little trauma,less blood loss,satisfactory safety,and prompt postoperative recovery,but is difficult to manage.
