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Laparoscopic transabdominal lateral adrenalectomy

Identifieur interne : 001E20 ( Main/Exploration ); précédent : 001E19; suivant : 001E21

Laparoscopic transabdominal lateral adrenalectomy

Auteurs : Kai A. Bickenbach [États-Unis] ; Vivian E. Strong [États-Unis]

Source :

RBID : ISTEX:CC67683FB4E69BC983AD170C62E4BCEC3E8CB298

English descriptors

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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<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>
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<term>Laparoscopic adrenalectomies</term>
<term>Laparoscopic adrenalectomy</term>
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<term>Morbidity</term>
<term>Oncol</term>
<term>Oncology</term>
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<term>Open approach</term>
<term>Operative time</term>
<term>Pheochromocytoma</term>
<term>Primary aldosteronism</term>
<term>Primary hyperaldosteronism</term>
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<term>Resection</term>
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<term>Robotic surgery</term>
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<term>Surg discussion</term>
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<term>Surgical</term>
<term>Surgical oncology</term>
<term>Syndrome</term>
<term>Systematic review</term>
<term>Trochar placement</term>
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