Laparoscopic adrenal surgery in children: Lessons from a single centre experience
| Autor: | Santosh A Jadhav, Sanjay H Bhat, Georgie Mathew, Balagopal Nair, Ginil Kumar, Sudhir Sukumar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adrenal gland
medicine.medical_specialty child Adrenal surgery Laparoscopic adrenalectomy medicine.diagnostic_test business.industry Hand assistance Adrenalectomy medicine.medical_treatment lcsh:Surgery laparoscopy lcsh:RD1-811 medicine.disease Surgery Pheochromocytoma Single centre Blood loss medicine lcsh:Diseases of the digestive system. Gastroenterology Original Article lcsh:RC799-869 business Laparoscopy |
| Zdroj: | Journal of Minimal Access Surgery Journal of Minimal Access Surgery, Vol 7, Iss 2, Pp 141-144 (2011) |
| ISSN: | 1998-3921 0972-9941 |
| Popis: | Purpose: Although commonly performed in adults, laparoscopic adrenalectomy in children is performed only in centres with advanced laparoscopic expertise. Materials and Methods: This is a retrospective analysis of laparoscopic adrenalectomies performed at a single centre between January 2003 and May 2010. After preoperative evaluation with biochemical assays and radiologic imaging, surgery was performed by using the lateral transabdominal approach in all patients. Results: Ten laparoscopic adrenalectomies (including three bilateral) were performed in seven children, with a mean age of 9.6 years. The tumours ranged from 2 - 7 cms in size. The operative durations were 75 - 130 minutes (unilateral) and 250 - 270 minutes (bilateral). Operative blood loss was minimal. There were no open conversions, but terminal hand assistance was required in one large right pheochromocytoma. The postoperative hospital stay ranged from 3 - 10 days. The final pathological diagnoses included pheochromocytoma, hyperplasia and neuroblastoma. Follow-up at 24 - 87 months was uneventful. Conclusion: With adequate experience in laparoscopy, it is possible to perform adrenalectomy in selected children. |
| Databáze: | OpenAIRE |
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