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01121 Journal of Nara Medical Association >
Vol.47 No.2 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/717

Title: 腹腔鏡下副腎摘除術 : 術式導入期5例の経験
Authors: 三馬, 省二
平尾, 佳彦
坂, 宗久
百瀬, 均
吉田, 克法
大園, 誠一郎
岡島, 英五郎
Keywords: laparoscopic surgery
minimally invasive surgery
Issue Date: 30-Apr-1996
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.47 No.2 p.204-209
Abstract: From January 1993 to May 1994, 5 patients with unilateral adrenal tumor underwent laparoscopic adrenalectomy at the Department of Urology, Nara Medical University. The preoperative diagnoses were primary aldosteronism in 3 cases and nonfun- ctioning tumor in 2. Three were on the right side and 2 on the left side. The adrenal gland was removed laparoscopically in 4 patients ; one case underwent open hemostasis and extirpation because of intraoperative massive arterial bleeding caused by the slipping out of a hemoclip. In the 4 cases in which laparoscopic adrenalectomy was completed, the mean operative time was 401 minutes, ranging from 330 to 490 minutes, and estimated bleeding volume ranged from 25 to 288 ml (mean 131 ml). Operative complications were localized pulmonary embolism in one patient, localized renal infarction in one and subcutaneous emphysema in 2, which could be treated conservatively. Laparoscopic adrenalectomy requires practice and skill. However, it is less invasive, compared to open adrenalectomy. It is considered that laparoscopic surgery would be highly useful in the field of adrenal surgery.
URI: http://hdl.handle.net/10564/717
ISSN: 04695550
Appears in Collections:Vol.47 No.2

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