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 UrologyArticle was published in
Urological Journal
2010 Issue 1
Most read in this issue
- SURGICAL TECHNIQUE FOR LAPAROSCOPIC ADRENALECTOMY
- LAPAROSCOPIC PARTIAL NEPHRECTOMY
- LAPAROSCOPIC RECONSTRUCTION SURGERY OF UPPER URINARY SYSTEM IN CHILDREN – TECHNICAL ASPECTS
- PROSTATE BIOPSY CLINICAL AND PATHOLOGICAL VARIABLES THAT PREDICT SIGNIFICANT GRADING CHANGES IN THE CONTEMPORARY ERA