갈색세포종의 치료에 있어서 복강경하 절제술과 개복술과의 비교

• Published in: Annals of surgical treatment and research Vol. 70; no. 4; pp. 312 - 316
• Main Authors: 강정묵(Jung Mook Kang), 최재영(Jae Young Choi), 이길연(Kil Yeon Lee), 이상목(Sang Mok Lee), 박호철(Ho Chul Park), 홍성화(Sung Wha Hong), 오수명(Soo Myung Oh), 윤충(Choong Yoon), 고석환(Suck Hwan Koh)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.04.2006
• Subjects: 일반외과학; 고식적 개복 부신절제술; Laparoscopic adrenalectomy; Pheochromocytoma; 갈색세포종; 복강경하 부신절제술; Open adrenalectomy
• ISSN: 2288-6575; 2288-6796

Purpose: Laparoscopic adrenalectomy (LA) has become the standard treatment for benign adrenal neoplasm because of the procedure's minimal invasiveness and the patients' earlier recovery. The aim of this study was to evaluate the safety and effectiveness of laparoscopic adrenalectomy for treating pheochromocytoma. Methods: 19 Operations were performed between March 1993 and July 2004 at Kyung-Hee medical center for treating pheochromocytoma, and the diagnosis was confirmed by the postoperative pathology. There were 5 cases treated with LA and 14 cases treated with open adrenalectomy (OA). The various clinical parameters (tumor location, tumor size, first oral feeding, hospital stay, hemodynamic change and operation time) were compared between the LA and OA procedures, retrospectively. Results: The location of the tumor was 2：2：1 (left：right： extra-adrenal) in the LA group and 9：3：2 (left：right：both) in the OA group. The mean tumor size (cm) was 5.4 in the LA group and 6.3 in the OA group. The mean operation time (minutes) was 219 in the LA group and 202 in the OA group. The resumption of liquid diet (days) was 2.2 in the LA group and 3.0 in the OA group (P=0.037). The postoperative hospital stay (days) was 6.3 in the LA group and 8.5 in the OA group. The mean number of intraoperative hypertensive crisis was 1.42 in the LA group and 1.40 in the OA group. The number of cases requiring intraoperative transfusion was 2 of 5 in the LA group and 2 of 15 in the OA group. The use of antihypertensives (number of times) was 1.42 in the LA group and 1.40 in the OA group. The mean highest BP (mmHg) was 162 in the LA group and 165 in the OA group. Conclusion: Laparoscopic adrenalectomy for treating pheochromocytoma is a safe and effective procedure that provides the benefits of a minimally invasive approach. (J Korean Surg Soc 2006;70:312-316) KCI Citation Count: 0