Laparoscopic adrenalectomy for adrenal tumors: A 21-year single-institution experience

Autor: Daisaku Hirano, Ryo Hasegawa, Tomohiro Igarashi, Katsuhiko Satoh, Junichi Mochida, Satoru Takahashi, Toshio Yoshida, Tadanori Saitoh, Shuji Kiyotaki, Kiyoki Okada
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Asian Journal of Surgery, Vol 38, Iss 2, Pp 79-84 (2015)
Druh dokumentu: article
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2014.09.003
Popis: Objective: We have performed laparoscopic adrenalectomy including retroperitoneoscopic adrenalectomy via a single large port (RASLP) and conventional laparoscopic adrenalectomy (CLA) for adrenal tumors since 1992, and report our experience to date. Methods: The study population consisted of 134 patients who underwent laparoscopic adrenalectomy from 1992 to 2012. Fifty-eight patients (18 aldosterone-producing adenomas, 13 adenomas with Cushing's syndrome, 1 adenoma with preclinical Cushing's syndrome, and 26 nonfunctioning tumors) were treated using RASLP, and 76 patients (33 aldosterone-producing adenomas, 17 adenomas with Cushing's syndrome, 6 adenomas with preclinical Cushing's syndrome, 17 pheochromocytomas, and 3 nonfunctioning tumors) were treated using CLA. Complications were graded according to the modified Clavien system. Results: The majority of RASLPs were performed during the 1990s, whereas all patients underwent CLA after 2000. The mean operation times (166 vs. 205 minutes, p
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