Transperitoneal laparoscopic adrenalectomy: experience in 72 procedures

Journal of Endourology
F PorpigliaM Morino

Abstract

To evaluate the safety and effectiveness of transperitoneal laparoscopic adrenalectomy for a variety of adrenal diseases. Seventy-two patients underwent laparoscopic adrenalectomy from January 1995 until March 1999. The indications for the treatment were limited to either functioning or nonfunctioning adrenal masses without radiologic evidence of involvement of the surrounding tissues. The indication for bilateral adrenalectomy was Cushing's disease after the failure of other therapies or Cushing's syndrome secondary to ectopic ACTH secretion without the discovery of a primary neoplasm. Thirty-five of the adrenalectomies were performed on the left side and 33 on the right side, and 4 were performed bilaterally. The right-sided procedures required a mean operating time of 130 minutes (range 85-200 minutes), the left-sided procedures required a mean operating time of 140 minutes (range 95-200 minutes), and the bilateral procedures required a mean operating time of 240 minutes (range 210-290 minutes). A conversion from laparoscopy to laparotomy was necessary for 3 patients (4%). Intraoperative complications were reported in 6 patients (8%). Postoperative complications likewise occurred in six patients. These procedures proved to b...Continue Reading

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Citations

Oct 25, 2003·Surgical Endoscopy·C J O'BoyleC M S Royston
Nov 30, 2011·Hormones & Cancer·Francesco PorpigliaGerard M Doherty
Apr 25, 2007·Journal of Endourology·Pranjal ModiGaurang Kadam
Feb 17, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Airazat M KazaryanBjørn Edwin
Apr 24, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Yuri W NovitskyDemetrius E M Litwin
Jun 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Dirk WeyheKarl-Heinz Bauer
Aug 24, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Umberto MaestroniPietro Cortellini
Dec 15, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Emanuele SoricelliNicola Basso
Aug 3, 2013·World Journal of Urology·Insang HwangKwangsung Park
Jul 6, 2014·Urology·Francesco PorpigliaRoberto M Scarpa
Aug 20, 2015·Annals of Surgical Oncology·Georgios Antonios MargonisTimothy M Pawlik
Dec 24, 2003·BJU International·G GuazzoniP Rigatti
Jul 13, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Masatoshi EtoSeiji Naito
Sep 19, 2006·Best Practice & Research. Clinical Endocrinology & Metabolism·Andrew A Gumbs, Michel Gagner
Nov 15, 2011·Urologia·Umberto MaestroniPietro Cortellini
Oct 4, 2002·Journal of Feline Medicine and Surgery·A E Jergens
Mar 15, 2011·Journal of Surgical Oncology·Andrea ValeriLorenzo Antonuzzo
Jan 16, 2014·Endocrine Reviews·Tobias ElseGary D Hammer
Apr 15, 2004·Endocrine Reviews·Georg MansmannStefan R Bornstein
Nov 16, 2004·BJU International·Francesco PorpigliaRoberto M Scarpa
Sep 18, 2004·The British Journal of Surgery·A Assalia, M Gagner

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