Laparoscopic unilateral and bilateral adrenalectomy for Cushing's syndrome. Transperitoneal and retroperitoneal approaches

Annals of Surgery
L Fernández-CruzL Sabater

Abstract

This prospective randomized study compares the safety and efficacy of transperitoneal laparoscopic adrenalectomy (TLPA) and retroperitoneal approach (RLPA) in obese patients with Cushing's syndrome. Recently, a retroperitoneal laparoscopic approach has been described with benefits of avoiding the respiratory and hemodynamic effects of carbon dioxide (CO2) pneumoperitoneum and giving direct access without the need to mobilize abdominal organs. Twenty-one adrenalectomies were performed in 9 patients (2 men, 7 women; mean age, 46.33 +/- 19.41 years old; range, 16 to 74 years old) with Cushing's adenoma and in 6 women (mean age, 41.83 +/- 9.97 years old; range, 34 to 62 years old) with Cushing's disease. Randomization gave 10 TLPA and 11 RLPA. Arterial blood gas samples, mean arterial pressure, heart rate, and clinical parameters were evaluated. The partial pressure of carbon dioxide (PaCO2) increased in both retroperitoneal and transperitoneal CO2 insufflation compared with basal values (p < 0.01), and the TLPA showed a greater rise in the PaCO2 level compared with the RLPA at 30 minutes (p < 0.05); simultaneously, a significant increase (p < 0.05) of mean arterial pressure was observed in the TLPA compared with RLPA. No significa...Continue Reading

References

May 1, 1985·Annals of Surgery·H W ScottD N Orth
Apr 1, 1987·The Surgical Clinics of North America·N W Thompson, P S Cheung
Aug 1, 1986·World Journal of Surgery·R G WatsonD M Ilstrup
Sep 1, 1982·American Journal of Surgery·C F RussellD M Ilstrup
May 1, 1995·Archives of Surgery·R A Prinz
Mar 23, 1995·The New England Journal of Medicine·D N Orth
Jul 1, 1994·The Australian and New Zealand Journal of Surgery·M KellyL Delbridge
Dec 1, 1993·Journal of Laparoendoscopic Surgery·L Fernández-CruzP Taura
Feb 1, 1994·Surgical Endoscopy·A Cuschieri

❮ Previous
Next ❯

Citations

Jun 19, 2004·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W KneistT Junginger
May 28, 2013·Surgical Endoscopy·Vasilis A ConstantinidesFausto Palazzo
Mar 19, 2004·Current Urology Reports·András HoznekClément-Claude Abbou
Dec 22, 2004·Current Urology Reports·Ravi Munver, Pedram Ilbeigi
Apr 1, 2009·The Indian Journal of Surgery·Abhay N DalviPadma S Menon
Dec 26, 2001·European Journal of Radiology·Gerhard PragerBruno Niederle
Jul 29, 2000·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·T MatsudaM Kawakita
Mar 25, 2000·Endocrinology and Metabolism Clinics of North America·G H JossartM Gagner
Jul 15, 1999·Anaesthesia·S M WinshipJ M Hunter
Jul 19, 2002·ANZ Journal of Surgery·Stephen H PillingerStan Sidhu
Apr 20, 2000·Journal of Endourology·M G HobartE L Bravo
May 21, 2010·Journal of Endourology·Aaron T LudwigTerry C Lairmore
Dec 24, 2011·Journal of Endourology·Balagopal Nair TiyadatahSanjay Bhat Hattangadi
Sep 17, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·J KurianskyL Fernández-Cruz
Sep 29, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Andreas KiriakopoulosDimitrios Linos
Aug 30, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Raffaele PuglieseErika Grossrubatscher
Apr 12, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mohammad Reza Mohammadi-FallahSepehr Hamedanchi
Jan 9, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·J SirénR Haapiainen
Jun 29, 2006·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Chi Kin TaiMichael Ka Wah
Apr 13, 2010·The Tohoku Journal of Experimental Medicine·Evridiki KaranikolaNikolaos Nikiteas
Feb 12, 2000·American Journal of Surgery·L M BruntW D Middleton
Jan 18, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Ja H KuHyeon H Kim
Sep 19, 2006·Best Practice & Research. Clinical Endocrinology & Metabolism·Andrew A Gumbs, Michel Gagner
Dec 10, 2003·Mayo Clinic Proceedings·Dawn E JaroszewskiRonald A Hinder
Aug 31, 2012·Journal of Surgical Oncology·Kai A Bickenbach, Vivian E Strong
Oct 2, 2012·The British Journal of Surgery·V A ConstantinidesF F Palazzo
Jul 18, 2001·The Journal of Urology·I S Gill
Jul 12, 2005·The Journal of Urology·Mauricio RubinsteinEmmanuel Bravo
Apr 13, 2006·The British Journal of Surgery·W E J HanssenH J Bonjer
Jul 4, 2006·World Journal of Surgery·Reinhard Bittner
Feb 10, 2010·World Journal of Surgery·Pier F AlesinaMartin K Walz
Jan 21, 2014·ANZ Journal of Surgery·Miguel S CabalagJulie A Miller
Jun 22, 2017·World Journal of Surgery·Patrick HegerMarkus K Diener
May 11, 2019·Annals of Surgical Treatment and Research·Kwangsoon KimWoong Youn Chung
Apr 15, 2004·Endocrine Reviews·Georg MansmannStefan R Bornstein

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.