Laparoscopic adrenalectomy: Comparison of lateral transperitoneal and lateral retroperitoneal approaches
| Autor: | Chi Wai Fan, Shu Keung Li, Michael Ka Wah, Tat Chau Fung, See Ming Hou, Chi Kin Tai |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Retrospective review medicine.medical_specialty Laparoscopic adrenalectomy business.industry Significant difference Adrenal Gland Neoplasms Adrenalectomy Middle Aged Surgery Treatment Outcome medicine Operation time Operative time Humans Female Laparoscopy business Complication Hospital stay Retrospective Studies |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 16(3) |
| ISSN: | 1530-4515 |
| Popis: | Laparoscopic adrenalectomy has become the method of choice of removal of most of adrenal lesions. This study investigated and compared the results of 2 different approaches of laparoscopic adrenalectomy, through retrospective review of 40 patients. Within this study period between 1995 and 2004, there were 20 lateral retroperitoneal and 20 lateral transperitoneal laparoscopic adrenalectomies performed. There was no significant difference in demographic variables between the 2 groups. Operative time, days to diet and ambulation, hospital stay, rate of conversion and complication did not differ significantly between the 2 approaches. No recurrence was detected upon mean follow-up period of 15.9 months. Learning curves showed gradual decrease in operation time in both approaches, reflecting maturation of techniques. In conclusion, both lateral transperitoneal and lateral retroperitoneal laparoscopic adrenalectomy are safe and effective. There is no difference in outcome between 2 approaches. |
| Databáze: | OpenAIRE |
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