Laparoscopic transabdominal lateral adrenalectomy
Identifieur interne : 001E20 ( Main/Exploration ); précédent : 001E19; suivant : 001E21Laparoscopic transabdominal lateral adrenalectomy
Auteurs : Kai A. Bickenbach [États-Unis] ; Vivian E. Strong [États-Unis]Source :
- Journal of Surgical Oncology [ 0022-4790 ] ; 2012-10-01.
English descriptors
- Teeft :
- Adrenal, Adrenal gland, Adrenal metastases, Adrenal vein, Adrenalectomy, Adrenocortical, Adrenocortical carcinoma, Arch surg discussion, Brunt, Carcinoma, Cell lung cancer, Complete resection, Endosc, Hypertensive crisis, Incision, Laparoscopic, Laparoscopic adrenalectomies, Laparoscopic adrenalectomy, Laparoscopic approach, Laparoscopic resection, Laparoscopic surgery, Lesion, Malignancy, Malignant, Median, Metastasis, Metastatic, Metastatic lesions, Morbidity, Oncol, Oncology, Open adrenalectomy, Open approach, Operative time, Pheochromocytoma, Primary aldosteronism, Primary hyperaldosteronism, Recurrence, Resection, Right adrenalectomy, Robotic, Robotic surgery, Shorter length, Sils, Surg, Surg discussion, Surg endosc, Surg oncol, Surgery discussion, Surgical, Surgical oncology, Syndrome, Systematic review, Trochar placement, Tumor spillage.
Abstract
Laparoscopic adrenalectomy is a mainstay of operative options for adrenal tumors and allows surgeons to perform adrenalectomies with less morbidity, less post‐operative pain, and shorter hospital stays. The literature has demonstrated its efficacy to be equal to open adrenalectomy in most cases. With regard to malignant primary and metastatic lesions, controversy still remains, however, consideration of a laparoscopic approach for smaller, well circumscribed and non‐invasive lesions is reasonable. During any laparoscopic resection, when there is doubt about the ability to safely remove the lesion with an intact capsule, conversion to an open approach should be considered. The primary goal of a safe and complete oncologic resection cannot be compromised. For most benign lesions, laparoscopic approaches are safe and feasible and conversion to an open approach is necessary only for lesions where size limits the ability of a minimally invasive resection. J. Surg. Oncol. 2012; 106:611–618. © 2012 Wiley Periodicals, Inc.
Url:
DOI: 10.1002/jso.23250
Affiliations:
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Le document en format XML
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<term>Adrenal gland</term>
<term>Adrenal metastases</term>
<term>Adrenal vein</term>
<term>Adrenalectomy</term>
<term>Adrenocortical</term>
<term>Adrenocortical carcinoma</term>
<term>Arch surg discussion</term>
<term>Brunt</term>
<term>Carcinoma</term>
<term>Cell lung cancer</term>
<term>Complete resection</term>
<term>Endosc</term>
<term>Hypertensive crisis</term>
<term>Incision</term>
<term>Laparoscopic</term>
<term>Laparoscopic adrenalectomies</term>
<term>Laparoscopic adrenalectomy</term>
<term>Laparoscopic approach</term>
<term>Laparoscopic resection</term>
<term>Laparoscopic surgery</term>
<term>Lesion</term>
<term>Malignancy</term>
<term>Malignant</term>
<term>Median</term>
<term>Metastasis</term>
<term>Metastatic</term>
<term>Metastatic lesions</term>
<term>Morbidity</term>
<term>Oncol</term>
<term>Oncology</term>
<term>Open adrenalectomy</term>
<term>Open approach</term>
<term>Operative time</term>
<term>Pheochromocytoma</term>
<term>Primary aldosteronism</term>
<term>Primary hyperaldosteronism</term>
<term>Recurrence</term>
<term>Resection</term>
<term>Right adrenalectomy</term>
<term>Robotic</term>
<term>Robotic surgery</term>
<term>Shorter length</term>
<term>Sils</term>
<term>Surg</term>
<term>Surg discussion</term>
<term>Surg endosc</term>
<term>Surg oncol</term>
<term>Surgery discussion</term>
<term>Surgical</term>
<term>Surgical oncology</term>
<term>Syndrome</term>
<term>Systematic review</term>
<term>Trochar placement</term>
<term>Tumor spillage</term>
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<front><div type="abstract" xml:lang="en">Laparoscopic adrenalectomy is a mainstay of operative options for adrenal tumors and allows surgeons to perform adrenalectomies with less morbidity, less post‐operative pain, and shorter hospital stays. The literature has demonstrated its efficacy to be equal to open adrenalectomy in most cases. With regard to malignant primary and metastatic lesions, controversy still remains, however, consideration of a laparoscopic approach for smaller, well circumscribed and non‐invasive lesions is reasonable. During any laparoscopic resection, when there is doubt about the ability to safely remove the lesion with an intact capsule, conversion to an open approach should be considered. The primary goal of a safe and complete oncologic resection cannot be compromised. For most benign lesions, laparoscopic approaches are safe and feasible and conversion to an open approach is necessary only for lesions where size limits the ability of a minimally invasive resection. J. Surg. Oncol. 2012; 106:611–618. © 2012 Wiley Periodicals, Inc.</div>
</front>
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