Transperitoneal or retroperitoneal laparoscopic adrenalectomy: choosing proper technique for certain candidates

被引:0
作者
Liatsikos, Evangelos [1 ]
Kallidonis, Panagiotis [1 ]
Stolzenburg, Jens-Uwe [2 ]
机构
[1] Univ Patras, Med Sch, Dept Urol, Patras 26500, Greece
[2] Univ Leipzig, Med Sch, Dept Urol, Leipzig, Germany
来源
TURKISH JOURNAL OF UROLOGY | 2010年 / 36卷 / 01期
关键词
Adrenal tumor; laparoscopic adrenalectomy; retroperitoneal; transperitoneal;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Laparoscopic adrenalectomy (LA) is currently the golden standard for the surgical management of small benign adrenal tumors. It is not clear yet if the procedure is appropriate for the management of adrenal malignancies. Transperitoneal or retroperitoneal laparoscopic approaches have been proven feasible and efficient in the surgical resection of the adrenal gland, each of them demonstrating particular advantages and disadvantages. The selection of the approach should be individualized for each patient. Complication rates of LA are similar to open surgery. Operative time is longer, but LA has advantages in terms of postoperative course of the patient. Further experience with LA would elucidate the indications regarding malignant adrenal tumors.
引用
收藏
页码:67 / 71
页数:5
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