Niigata大学医院在1992年1月～1993年3月曾为10例原发性醛固酮增多症采用腹腔镜肾上腺切除术。在全麻诱导前先放置鼻胃管和导尿管。在脐下插入Veress针，注人 CO_2 4～6 L，其压力不超过12mmHg，拔除Veress针换以-10mm套孔管，在前腋线、锁骨中线以及上腹正中线各置入套孔管。将病人由仰卧位转为半侧位。在右侧，切开肝结肠韧带，向内侧游离十二 Niigata University Hospital from January 1992 to March 1993 had 10 cases of primary aldosteronism using laparoscopic adrenalectomy. Nasogastric tube and catheter were placed before induction of general anesthesia. Veress needle inserted under the umbilical, injection of CO_2 4 ~ 6 L, the pressure does not exceed 12mmHg, remove the Veress needle in exchange for -10mm sleeve hole tube, the anterior axillary line, the midline of the midclavicular line and the upper abdomen midline each set of cannula . The patient from the supine position to the lateral position. On the right, open the hepatic colonic ligament and free to the inside of the twelve