Laparo-Endoscopic Single Site Anatomical Retroperitoneoscopic Adrenalectomy Using Conventional Instruments: Initial Experience and Short-Term Outcome
Laparo-Endoscopic Single Site Anatomical Retroperitoneoscopic Adrenalectomy Using Conventional Instruments: Initial Experience and Short-Term Outcome
复制标题
使用传统器械进行腹腔镜单部位解剖型后腹腔镜肾上腺切除术：初步经验和短期结果
DOI：
10.1016/j.juro.2010.09.084
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发表时间：
2011-02-01
影响因子：
6.6
通讯作者：
Wang, Bao-jun
中科院分区：
文献类型：
--
作者：
Zhang, Xu;Shi, Tao-ping;Wang, Bao-jun
目的：据我们所知，我们目前的初步经验和腹腔镜单网站解剖后腹腔镜肾上腺切除术使用传统instruments.Materials和方法的短期结果：2009年6月至2010年4月，25例患者进行了腹腔镜单网站解剖后腹腔镜肾上腺切除术。通过第12根肋骨尖端下方2.5至3.0 cm的横向皮肤切口插入TriPort（TM）入路系统。肾上腺切除术使用5 mm 30度腹腔镜摄像机和2个传统腹腔镜器械完成。在Gerota筋膜被切开后，我们在肾脏的上内侧探索了肾周脂肪和肾前筋膜之间的第一个解剖平面。结果：23例患者均成功完成了腹腔镜-内窥镜单孔解剖性后腹腔镜肾上腺切除术。在2例不成功的病例中，1例需要额外的5 mm端口，另1例需要转换为标准解剖后腹腔镜肾上腺切除术。中位切口长度为3.0 cm，中位手术时间为55分钟，中位估计失血量为15 ml。无严重术中并发症发生。在最初的10例病例中，中位手术时间明显更长（62 vs 50分钟），中位失血量明显更高（75 vs 10，均为P
Purpose: To our knowledge we present the initial experience with and the short-term outcome of laparo-endoscopic single site anatomical retroperitoneoscopic adrenalectomy using conventional instruments.Materials and Methods: Between June 2009 and April 2010, 25 patients underwent laparo-endoscopic single site anatomical retroperitoneoscopic adrenalectomy. A TriPort (TM) Access System was inserted through a 2.5 to 3.0 cm transverse skin incision below the tip of the 12th rib. Adrenalectomy was done using a 5 mm 30-degree laparoscopic camera and 2 conventional laparoscopic instruments. After Gerota's fascia was incised we explored the first dissection plane between the perirenal fat and the anterior renal fascia at the superomedial side of the kidney. The adrenal gland was identified at the initial stage of the operation.Results: Laparo-endoscopic single site anatomical retroperitoneoscopic adrenalectomy was successfully accomplished in 23 patients. An additional 5 mm port was required in 1 of the 2 unsuccessful cases and in the other it was necessary to convert to standard anatomical retroperitoneoscopic adrenalectomy. Median incision length was 3.0 cm, median operative time was 55 minutes and median estimated blood loss was 15 ml. No major intraoperative complications occurred. In the initial 10 cases median operative time was significantly longer (62 vs 50 minutes) and median blood loss was significantly higher (75 vs 10, each p