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Korean J Urol Oncol > Volume 13(1); 2015 > Article
The Korean Journal of Urological Oncology 2015;13(1): 17-23.
비뇨기과 영역에서의 복강경 부신절제술
권종규, 오철규
인제대학교 의과대학 비뇨기과학교실
Laparoscopic Adrenalectomy in Urology
Jong Kyou Kwon , Cheol Kyu Oh
Department of Urology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea
Published online: April 30, 2015.
ABSTRACT
Laparoscopic adrenalectomy has been the standard method for resecting adrenal gland tumors. Recently, laparoscopic retroperitoneal adrenalectomy (RA) has been more popular than conventional transperitoneal laparoscopic adrenalectomy (TLA) as an alternative method. Studies comparing laparoscopic RA and TLA showed that laparoscopic RA was superior or at least comparable to TLA in operation time, blood loss, pain score, hospital stay, and return to normal activity. Conversion rates and complication rates were similar. At present, laparoscopic RA has been int the limelight procedure for patients with benign adrenal disease. However, surgeons have been reluctant to offer this operation to patients because of the concerns over inadequate working space and overall perceived higher rate of complications, laparoscopic RA is not popular in urologic field up to now. This article summarizes the latest ideas and issues on laparoscopic RA in the expanding field of laparoscopy in urology. (Korean J Urol Oncol 2015;13:17-23)
Key Words: Laparoscopy; Adrenalectomy; Minimal invasive surgery; Transperitoneal approach; Retroperitoneal approach
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