The role of intraoperative ultrasonography during laparoscopic adrenalectomy

Surgery
B T HenifordM Gagner

Abstract

The role of laparoscopic intraoperative ultrasonography (IOUS) in intraoperative decision making has grown rapidly in recent years. The purpose of this study was to evaluate its usefulness during laparoscopic adrenalectomy. Since 1995, laparoscopic ultrasonography has been used to evaluate the adrenal gland and surrounding organs in selective laparoscopic adrenalectomies. IOUS was performed in 19 of 114 laparoscopic adrenalectomies. IOUS effected a change in management in 68% of these patients. IOUS displayed the location of the gland after a failed attempt at open resection; the adrenal vein, expediting control in four operations; no extraadrenal involvement by two large lesions (benign); vascular invasion in one tumor (carcinoma), prompting open resection; periadrenal invasion by one metastatic cancer and lymph node involvement in another; a 7 mm hyperaldosteronoma; no adenoma in two cases; bilateral hyperplasia; and a 14 cm cyst originating from the adrenal gland. IOUS facilitated partial adrenalectomy in two patients and revealed centrally located adenomas in two others requiring total adrenalectomy. Laparoscopic IOUS during adrenal operation is valuable in selected cases. It is helpful to locate the gland and vein, confirm...Continue Reading

References

Oct 1, 1992·The New England Journal of Medicine·M GagnerE Bolté
May 1, 1995·Archives of Surgery·R A Prinz
Nov 1, 1993·Surgical Endoscopy·J MachiR V Kolecki
Jul 1, 1996·American Journal of Surgery·J Machi, B Sigel

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Citations

Oct 21, 1998·Seminars in Surgical Oncology·B T HenifordM Gagner
May 20, 1999·Seminars in Surgical Oncology·B T HenifordI S Gill
Mar 2, 2005·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M Brauckhoff, H Dralle
Jun 27, 2002·Current Urology Reports·C P PavlovichM M Walther
Feb 12, 2000·American Journal of Surgery·L M BruntW D Middleton
Nov 4, 2000·The Surgical Clinics of North America·C D Raeburn, R C McIntyre
Mar 25, 2000·Endocrinology and Metabolism Clinics of North America·G H JossartM Gagner
May 18, 2001·Surgical Oncology·N C Lee, J A Norton
Mar 16, 2001·Journal of Endourology·S F Matin, I S Gill
Dec 10, 2002·Journal of Endourology·Joseph J Del PizzoR Ernest Sosa
Sep 25, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·R HasanB T Heniford
Jul 16, 1999·Journal of Endourology·D A SchulsingerE D Vaughan
Jan 13, 2000·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·K W KercherF L Greene
Sep 19, 2012·Polski przeglad chirurgiczny·Jan Sopiński, Krzysztof Kuzdak
Jan 23, 2003·Current Urology Reports·Joseph J Del Pizzo
Feb 12, 2011·Updates in Surgery·Giuseppe CavallaroGiorgio De Toma
Oct 4, 2003·Radiology·Maja E HurleyInderbir S Gill
Jan 16, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M K Walz
Nov 20, 2012·Surgical Oncology Clinics of North America·Jennifer Creamer, Brent D Matthews
Mar 30, 2001·The Urologic Clinics of North America·B D Hamilton
Sep 19, 2006·Best Practice & Research. Clinical Endocrinology & Metabolism·Andrew A Gumbs, Michel Gagner
Jul 18, 2001·The Journal of Urology·I S Gill
Apr 12, 2005·American Journal of Surgery·William S CobbB Todd Heniford
Sep 16, 2008·The Surgical Clinics of North America·Lora Melman, Brent D Matthews
Jan 1, 2010·Reports of Practical Oncology and Radiotherapy : Journal of Greatpoland Cancer Center in Poznań and Polish Society of Radiation Oncology·Jakub PazdrowskiWojciech Golusiński
Jul 27, 2001·Best Practice & Research. Clinical Endocrinology & Metabolism·J F Henry
Feb 15, 2015·International Journal of Surgery·Vinayak NagarajaSenarath Edirimanne
Mar 22, 2000·Current Opinion in Urology·G Janetschek
Sep 27, 2001·World Journal of Surgery·L M Brunt, J F Moley
Sep 18, 2004·The British Journal of Surgery·A Assalia, M Gagner

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