Evaluation of laparoscopic transperitoneal adrenalectomy: is it feasible for large masses?

Basit Öğe Kaydı
dc.contributor.authorMesci, A.
dc.contributor.authorCelik, O.
dc.contributor.authorAkand, M.
dc.contributor.authorAydogdu, O.
dc.contributor.authorArici, G.
dc.contributor.authorArici, C.
dc.contributor.authorErdogru, T.
dc.date.accessioned2020-03-26T19:05:57Z
dc.date.available2020-03-26T19:05:57Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAim. 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.en_US
dc.identifier.endpage178en_US
dc.identifier.issn0393-2249en_US
dc.identifier.issn1827-1758en_US
dc.identifier.issue3en_US
dc.identifier.pmid25877815en_US
dc.identifier.startpage175en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32129
dc.identifier.volume67en_US
dc.identifier.wosWOS:000363830400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherEDIZIONI MINERVA MEDICAen_US
dc.relation.ispartofMINERVA UROLOGICA E NEFROLOGICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAdrenalectomyen_US
dc.subjectLaparoscopyen_US
dc.subjectPheochromocytomaen_US
dc.titleEvaluation of laparoscopic transperitoneal adrenalectomy: is it feasible for large masses?en_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu