Annali italiani di chirurgia · 2014
Laparoscopic adrenalectomy Initial experience of 57 cases.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pomar Alberto Pagán, Bianchi Alessandro, Bonnin Pascual J, Martinez Juan H, Argente X F Gonzalez
Аннотация
AIM: Analyse the results after 8 years of experience in the laparoscopic treatment of adrenal surgical pathology.
MATERIAL OF STUDY: This is a descriptive retrospective observational study. We analysed the following variables: sex, age, preoperative diagnosis, lesion size (cm) and laterality, operative time series (minutes), conversion to open surgery (%), postoperative complications, average length of hospital stay (days) and the results of pathological anatomy.
RESULTS: Fiftyseven laparoscopic adrenalectomy in 56 patients operated between May 2003 and September 2010. The average age of patients was 51.2 years (±17.12). 50% of laparoscopic transperitoneal surrenalectomy was performed on male patients. The pathologic diagnosis of lesions were 25 cortical adenoma (44%), 16 pheochromocytomas (28%), 4 nodular hyperplasia (7%), 6 metastases of carcinoma of the lung (10%) and 2 metastatic malignant histiocytomas (5%), 2 ganglioneuromas (5%) and 2 myelolipomas (5%).
DISCUSSION: In light of the results obtained in large published series 2-8, laparoscopic adrenalectomy has become the treatment of choice for tumours of the adrenal gland, fulfilling the goals of traditional surgery with the advantages of minimally invasive surgery. Several studies have highlighted the advantages of laparoscopic surgery compared to open surgery.
CONCLUSIONS: Laparoscopic adrenalectomy has proved to be the gold standard in the treatment of benign tumours and, is taking hold in the case of well-selected malignant tumours and in strict accordance with the criteria that should guide any surgical oncology.
MATERIAL OF STUDY: This is a descriptive retrospective observational study. We analysed the following variables: sex, age, preoperative diagnosis, lesion size (cm) and laterality, operative time series (minutes), conversion to open surgery (%), postoperative complications, average length of hospital stay (days) and the results of pathological anatomy.
RESULTS: Fiftyseven laparoscopic adrenalectomy in 56 patients operated between May 2003 and September 2010. The average age of patients was 51.2 years (±17.12). 50% of laparoscopic transperitoneal surrenalectomy was performed on male patients. The pathologic diagnosis of lesions were 25 cortical adenoma (44%), 16 pheochromocytomas (28%), 4 nodular hyperplasia (7%), 6 metastases of carcinoma of the lung (10%) and 2 metastatic malignant histiocytomas (5%), 2 ganglioneuromas (5%) and 2 myelolipomas (5%).
DISCUSSION: In light of the results obtained in large published series 2-8, laparoscopic adrenalectomy has become the treatment of choice for tumours of the adrenal gland, fulfilling the goals of traditional surgery with the advantages of minimally invasive surgery. Several studies have highlighted the advantages of laparoscopic surgery compared to open surgery.
CONCLUSIONS: Laparoscopic adrenalectomy has proved to be the gold standard in the treatment of benign tumours and, is taking hold in the case of well-selected malignant tumours and in strict accordance with the criteria that should guide any surgical oncology.