#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

SURGICAL TECHNIQUE FOR LAPAROSCOPIC ADRENALECTOMY


Authors: M. J. Mellon;  C. P. Sundaram
Authors‘ workplace: Indiana University School of Medicine ;  Indianapolis ;  Department of Urology
Published in: Urol List 2010; 8(1): 29-32

Overview

Since its first description in 1992, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. The benefits of a minimally invasive approach to adrenal resection such as decreased hospital stay, shorter recovery time and improved patient satisfaction are widely accepted. However, as this procedure becomes more widespread, critical steps of the operation must be maintained to ensure expected outcomes and success. This article reviews the preoperative evaluation, surgical techniques, and management of potential complications for the laparoscopic adrenalectomy. Laparoscopic adrenalectomy is the procedure of choice for benign functioning and non-functioning lesions. The procedure has been successful for selected small malignant neoplasms without involvement of neighboring structures.

Key words:
adrenalectomy, laparoscopy, adrenal gland, endocrine, surgical technique


Sources

1. Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 1992; 327(14): 1033.

2. Gill IS. The case for laparoscopic adrenalectomy. J Urol 2001; 166(2): 429–436.

3. McKinlay R, Mastrangelo MJ Jr, Park AE. Laparoscopic adrenalectomy: indications and technique. Curr Surg 2003; 60(2): 145–149.

4. Assalia A and Gagner M. Laparoscopic adrenalectomy. Br J Surg 2004; 91(10): 1259–1274.

5. Ku JH, Yeo WG, Kwon TG et al. Laparoscopic adrenalectomy for functioning and non-functioning adrenal tumors: analysis of surgical aspects based on histological types. Int J Urol 2005; 12(12): 1015– 1021.

6. Jeschke K, Janetschek G, Peschel R et al. Laparoscopic partial adrenalectomy in patients with aldo- sterone-producing adenomas: indications, technique, and results. Urology 2003; 61(1): 69–72.

7. Corcione F, Esposito C, Cuccurullo D et al. Vena cava injury: A serious complication during right adrenalectomy. Surg Endosc 2001; 15(2): 218.

Labels
Paediatric urologist Urology
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#