Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Retroperitoneal laparoscopic adrenalectomy: Clinical experience in 52 procedures
Autore:
Soulie, M; Mouly, P; Caron, P; Seguin, P; Vazzoler, N; Escourrou, G; Bastide, T; Pontonnier, F; Plante, P;
Indirizzi:
Hosp Rangueil, Dept Urol & Androl, Toulouse, France Hosp Rangueil Toulouse France eil, Dept Urol & Androl, Toulouse, France Hosp Rangueil, Dept Endocrinol, Toulouse, France Hosp Rangueil Toulouse France ngueil, Dept Endocrinol, Toulouse, France Hosp Rangueil, Dept Pathol, Toulouse, France Hosp Rangueil Toulouse France p Rangueil, Dept Pathol, Toulouse, France
Titolo Testata:
UROLOGY
fascicolo: 6, volume: 56, anno: 2000,
pagine: 921 - 925
SICI:
0090-4295(200012)56:6<921:RLACEI>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
RENAL SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Soulie, M CHU Rangueil, Serv Chirurg Urol & Androl, F-31403 Toulouse 4, France CHU Rangueil Toulouse France 4 rol, F-31403 Toulouse 4, France
Citazione:
M. Soulie et al., "Retroperitoneal laparoscopic adrenalectomy: Clinical experience in 52 procedures", UROLOGY, 56(6), 2000, pp. 921-925

Abstract

Objectives. Laparoscopic adrenalectomy has become an effective option for removal of small adrenal tumors. The aim of this prospective study was to evaluate the retroperitoneal approach with regard to intraoperative complications, morbidity, and length of hospital stay. Methods. Between September 1996 and October 1999, we performed 52 laparoscopic adrenalectomies (31 left, 21 right) for benign lesions by a retroperitoneal approach in 44 patients (27 women, 17 men) with a mean age of 46.9 years (range 17 to 74). The average adrenal tumor size was 32 mm (range 10 to63). All procedures required four trocars and a mean operative time of 135minutes (range 75 to 240). Results. There was no mortality, conversion rate to open surgery was 1.9%,and estimated blood loss was 80 mL (range 30 to 200). With a mean follow-up of 16 months, morbidity was 17.2%, which included intraoperative complications (5.7%) with two vascular injuries, and postoperative complications (11.5%) with wound infections, deep hematoma, and parietal dehiscence. Average length of hospital stay was 5 days with it mean analgesic consumption of 2 days (range 1 to 5),Conclusions. The retroperitoneal approach in laparoscopic adrenalectomy appears to be a minimally invasive and safe therapeutic option that may become the standard for unilateral or bilateral adrenal tumors not larger than 7cm. However, a learning curve in laparoscopy is indispensable before starting this type of procedure. UROLOGY 56: 921-925, 2000. (C) 2000, Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/12/20 alle ore 15:36:58