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KMID : 0978820020050020181
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2002 Volume.5 No. 2 p.181 ~ p.187
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Comparison of Laparoscopic and Conventional Open Adrenalectomy in Pheochromocytoma
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Abstract
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Purpose: Pheochromocytoma have been focused by surgeon because it caused hypertension which is curable by surgery. It has about 0.4~2% portion of all hypertension. This study was designed to prove laparoscopic adrenalectomy (LA) is more favorable result than open adrenalectomy (OA).
Methods: 19 Operations have been performed for pheochromocytoma which was confirmed by postoperative pathology between March 1990 and March 2002 at my center. LA was 10 cases and OA was 9 cases. Various clinical parameters (oral intake time, tumor size, hospital stay, number of intraoperative abrupt increase of blood pressure, postoperative usage of analgesia) were compared between laparoscopic and open procedure retrospectively.
Results: The ratio of gender was 10 : 9 (Male : Female). The mean age was 45.2 years old in LA group and 43.3 years old in OA group. The mean tumor size 5.2 cm in LA group and 6.4 cm in OA group. The resumption of liquid diet (day) was 1.1 in laparoscopic group and 2.6 in open group (p=0.0037). The postoperative hospital stay (day) was 5.6 in laparoscopic group and 12.4 in open group (p=0.0001). The number of PCA (patient controlled analgesia) use was 2 of 10 in laparoscopic group and 6 of 9 in open group (p=0.0413). The mean number of intraoperative hypertensive crisis was 0.6 time in LA group and 1.67 in OA group (p=0.0146). In LA group, there were no complication and their blood pressure have been well controlled without medication. But 3 pneumothorax, 1 sepsis occurred in OA group and 3 of them redeveloped hypertension.
Conclusion: The laparoscopic procedure is superior than open procedure in pheochromocytoma in all aspects.
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