[A case report of laparoscopic adrenalectomy].
Laparoscopic left adrenalectomy was performed on a 47 years old male patient with primary aldosteronism. Subcutaneous steel traction method was utilized in addition to intraperitoneal CO2 insufflation method. The combined use of steel traction method reduced CO2 insufflation pressure below 12 mmHg and might reduce possibility of CO2-related complications. A left adrenal gland was approached by a resection of phrenic colic ligament and a traction of a transverse and descending colon. Laparoscopic adrenalectomy has distinct advantages over open adrenalectomy in terms of avoidance of skin and muscle incision and rib resection, and early convalescence. This less invasive method might prevail in near future.
Higashihara
E
E
Department of Urology, Faculty of Medicine, University of Tokyo.
Tanaka
Y
Y
Horie
S
S
Aruga
S
S
Nutahara
K
K
Homma
Y
Y
Minowada
S
S
Aso
Y
Y
D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged