Single access retroperitoneoscopic adrenalectomy (SARA) - one step beyond in endocrine surgery

被引：50
作者：
Walz, Martin K. [1 ,2 ]
Alesina, Piero F. [1 ,2 ]
机构：
[1] Univ Duisburg Essen, Klin Chirurg, D-45136 Essen, Germany
[2] Univ Duisburg Essen, Zentrum Minimal Invas Chirurg, Kliniken Essen Mitte, Akad Lehrkrankenhaus, D-45136 Essen, Germany
来源：
LANGENBECKS ARCHIVES OF SURGERY | 2009年 / 394卷 / 03期
关键词：
Endocrine surgery; Adrenalectomy; Retroperitoneoscopy; Minimally invasive surgery; Single access; LAPAROSCOPIC ADRENALECTOMY; PORT; EXPERIENCE;
D O I：
10.1007/s00423-008-0418-z
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Today, endoscopic adrenalectomy has become a gold standard in endocrine surgery. To minimize the morbidity and improve cosmesis, a single access retroperitoneoscopic adrenalectomy (SARA) has been developed. Patients were placed in prone position. Through a single 1.5 cm skin incision at the tip of the 12th rib the creation of the retroperitoneal space and the dissection of the adrenal gland were performed. SARA was used in five patients with adrenal tumors (size: 1-4 cm; four right, one left). Operating time ranged from 35 to 70 min, mean blood loss was < 10 ml. No perioperative or postoperative complications were noticed. Mean hospital stay was 2 days. SARA is feasible and represents a new horizon in endocrine surgery.
引用
收藏
页码：447 / 450
页数：4
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