Evaluation of laparoscopic transperitoneal adrenalectomy: is it feasible for large masses?
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
EDIZIONI MINERVA MEDICA
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim. The aim of this paper was to determine whether laparoscopic adrenalectomy (LA) is a safe and effective treatment for the management of large adrenal tumors. Methods. We retrospectively evaluated the data of patients who underwent LA at our institution between September 2002 and September 2012. Seventy-six transperitoneal LA were performed by the same surgical team. Patients with invasive tumors to adjacent organs or distant metastasis were excluded from the study. All patients were operated using the 450 oblique position as transperitoneal approach. Results. The mean age of the patients was 48.3 years (range 20-68 years). The mean tumor size was 5.37 cm (range 2-15 cm). Sixteen patients had tumor size over 8 cm. The mean tumor weight was 31.2 gr (range 2-156 g). The lesions were localized on the tight side in 42 (55%) patients and on the left side in 34 (45%) patients. The mean intraoperative blood loss was 114 mL (range 20-400 mL) and the mean operative time was 112 min (range 55-300 min). Six patients (7%) required conversion to open procedure. The mean hospitalization time was 2.5 days (range 1-4 days). Five patients (6%) had postoperative minor complications. There were no incidents of capsular invasion or adverse cardiovascular events. Conclusion. LA is safe and feasible for both malign and benign adrenal lesions. Good preoperative assessment, surgical skills, team work and adherence to anatomical and surgical principles are the key to success for large adrenal masses.
Açıklama
Anahtar Kelimeler
Adrenalectomy, Laparoscopy, Pheochromocytoma
Kaynak
MINERVA UROLOGICA E NEFROLOGICA
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
67
Sayı
3
