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Titolo:
Laparoscopic adrenalectomy - A review of 30 initial cases
Autore:
Pujol, J; Viladrich, M; Rafecas, A; Llado, L; Garcia-Barrasa, A; Figueras, J; Jaurrieta, E;
Indirizzi:
Univainrcelona, Ciudad Sanitaria & Univ Bellvitge, Dept Surg, Barcelona, Sp Univ Barcelona Barcelona Spain Univ Bellvitge, Dept Surg, Barcelona, Sp
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 5, volume: 13, anno: 1999,
pagine: 488 - 492
SICI:
0930-2794(199905)13:5<488:LA-ARO>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
CUSHINGS-SYNDROME; PHEOCHROMOCYTOMA;
Keywords:
adrenalectomy; laparoscopy; transperitoneal approach;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Pujol, J UnivaBarcelona, Ciudad Sanitaria & Univ Bellvitge, Dept Surg, C Feixa Llarg Univ Barcelona C Feixa Llarga S-N Barcelona Spain C Feixa Llarg
Citazione:
J. Pujol et al., "Laparoscopic adrenalectomy - A review of 30 initial cases", SURG ENDOSC, 13(5), 1999, pp. 488-492

Abstract

Background: Laparoscopic adrenalectomy is a good option for removal of theadrenal gland that is becoming preferred over the conventional open technique. Methods: We reviewed the initial 30 laparoscopic adrenalectomies (in 27 patients) that were performed at: our institution from 1995 to 1998, We used the lateral decubitus transperitoneal approach in 26 cases and the retroperitoneal approach in only one case. The indications for adrenalectomy were Conn's adenoma in eight patients, pheochromocytoma in six, Gushing's syndrome in five, nonfunctional adenomas in seven, and metastasis in one case. Results: Only two patients (7%) were converted to laparotomy. Operating time ranged from 75 to 240 min. Average adrenal gland size was 6.1 cm (range,4-9 cm), There was no mortality, and morbidity occurred in only two patients (8%)-one case of self-limited gastrointestinal bleeding and one case of hypercapnia and subcutaneous emphysema (in the only patient operated by theretroperitonal approach). Mean hospital stay was 3 days (range, 1-6). Conclusions: Laparoscopic adrenalectomy is a safe and useful procedure fornearly all adrenal pathologies. Lateral decubitus transperitoneal approachis the procedure of choice in most cases.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 13:24:01