Clinical study of laparoscopic adrenalectomy

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  • 腹腔鏡下副腎摘除術の検討
  • フッコウキョウ カ フクジンテキジョジュツ ノ ケントウ

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Abstract

  We herein report our experience in performing laparoscopic aderenalectomy between February 1993 and April 2010 at Kurume University Hospital. We performed 109 laparosopic aderenalectomies. This operation was performed using the taransperitoneal approach in 81 patients, and the retoroperitoneal approch in 28 patients. <br>  The mean tumor size was 26.8±13.3mm（range 7-70mm）. The mean operative time was 259±98 min（range 98-590 min）. The mean blood loss was 126±238 ml（range 5-1760 ml）. The mean postoperative admission time was 13±8 days（range 3-64 days）. <br>  Conversion to open surgery was required in 6 cases （4 cases due to blood loss, one case of adhesion, and one case of tumor unknown）. <br>  The complications occurring during surgery included 4 cases of blood loss, and one each of short hepatic vein injury, spleen injury and pemothrax. <br>  The postoperative complications included wound hematoma and wound infection. <br>  Transperitoneal approach was significantly shroter than retroperitoneal approach in operative time and postoperative hospitalization.

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