+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Laparoscopic trans- and retroperitoneal adrenal surgery for large tumors

, : Laparoscopic trans- and retroperitoneal adrenal surgery for large tumors. Journal of Minimal Access Surgery 10(2): 57-61

Laparoscopic adrenalectomy for tumors larger than 6 cm is currently a matter of controversial discussion because of difficult mobilization from surrounding organs and a possible risk of capsule rupture. Data of consecutive patients undergoing laparoscopic adrenalectomy between 1/1994 and 7/2012 were collected and analysed retrospectively. Intra- and postoperative morbidity in patients with tumors ≤6 cm (group 1, n = 227) were compared to patients with tumors >6 cm, (group 2, n = 52). Incidence of adrenocortical carcinoma was significantly higher in group 2 patients (6.3% vs. 0.4%, P = 0.039) whereas the incidence of aldosterone-producing adenoma was lower (2% vs. 25%, P = 0.001). Mean duration of surgery was longer (105 min vs. 88 min, P = 0.03) and the estimated blood loss was higher (470 mL vs. 150 mL) in group 2 patients. Intraoperative bleeding rate (5.7% vs. 0.8%, P = 0.041), and the conversion rate were significantly higher (5.7% vs. 1.3%, P = 0.011) in group 2. Also, postoperative complication rate was significantly higher in group 2 (11.5% vs. 3.0%, P = 0.022). However, only two major complications occurred, one in each group. Minimally invasive adrenal surgery can be performed by an experienced surgeon even in patients with large tumors (>6 cm) with an increased but still acceptable intra- and postoperative morbidity.


PMID: 24761076

DOI: 10.4103/0972-9941.129943

Other references

Mainferme, F.; Santilman, V.; Demirov, D.; Wattiaux D.C.ninck, S.; Jadot, M., 1999: Role of the glycosylation sites and of the propeptide in the maturation and transport of rat dipeptidylaminopeptidase I. Archives of Physiology & Biochemistry 107(5): B18, December

Owens, J.N., 1973: The reproductive cycle of Douglas-Fir. A summary account, prepared by one of the authors, of a recent monograph on the life history of the Douglas Fir [see FA 34, 160], prepared for the use of students and practical foresters.

Pozhidaeva, I.M.; Isakov, Y.N., 1989: Cytological analysis of Scots pine trees with contrasting levels of self-fertility. Cytological features of meiosis, microsporogenesis and gametogenesis were studied in 2 Scots pine (Pinus sylvestris) groups, self-sterile and self-fertile, collected from stands and provenance trials in Voronezh province, Russia. A high occurrence...

Weir, Gsd, 1986: Protein hydrolysates as flavourings. Developments in food proteins: ) 175-217

Kornilova, L.N.; Temnikova, V.V.; Naumov, I.A.; Ekimovskiĭ, G.A.; Solov'eva, A.D., 2011: Computerized methods for therapy and rehabilitation of patients suffering dizziness and balance disorder. A new computerized method is proposed for correction and inhibition of unfavorable illusory (vertigo), vestibular-oculomotor (nystagmus), and vestibular-postural (balance) responses. This method allows to teach the subject to block generalization...

Patil, S.R.; Nandre, J.P.; Jadhav, D.; Bothra, S.; Sahoo, S.K.; Devi, M.; Pradeep, C.P.; Mahulikar, P.P.; Patil, U.D., 2015: Imatinib intermediate as a two in one dual channel sensor for the recognition of Cu²⁺ and I⁻ ions in aqueous media and its practical applications. An imatinib intermediate, 6-methyl-N-[4-(pyridin-3-yl)pyrimidin-2-yl]benzene-1,3-diaminepyridopyrimidotoluidine (PPT-1), was developed for the colorimetric sensing of Cu(2+) ions in aqueous solution. With Cu(2+), the receptor PPT-1 showed a highly...

Moore J.W., 1980: Epipelic and epiphytic algal communities in great slave lake northwest territories canada. Seasonal changes in the densities of epiphytic and epipelic algae were determined during 1975 and 1976 at 2 sites on the north shore of Great Slave Lake. The epiphyton waxed rapidly in May and reached maximum densities of 5-6 .times. 108 .mu.m3/cm...

Car, J.; Paljärvi, T.; Car, M.; Kazeem, A.; Majeed, A.; Atun, R., 2012: Negative health system effects of Global Fund's investments in AIDS, tuberculosis and malaria from 2002 to 2009: systematic review. By using the Global Fund as a case example, we aim to critically evaluate the evidence generated from 2002 to 2009 for potential negative health system effects of Global Health Initiatives (GHI). Systematic review of research literature. Developin...

Wu, J-Ren.; Hsu, J-Hau.; Chang, T-Tsung.; Dai, Z-Kong.; Lu, C-Chong.; Wu, D-Kuo., 2002: Nonsurgical percutaneous retrieval of dislodged Port-A catheters from pulmonary artery in children. A total of 110 central venous access procedures using Port-A catheters were performed in our center for pediatric patients with oncologic or hematologic diseases over a period of 6 years from November 1994 to June 2000. Spontaneous dislodgement of...

Shih, W.J.n; Stipp, V.; Magoun, S.; Ain, K.B.; Pulmano, C., 1996: Medullary thyroid carcinoma imaged by Tc-99m MIBI SPECT and Tl-201 chloride/Tc-99m pertechnetate subtraction SPECTI. A 61-year-old man with medullary thyroid carcinoma and local invasion of the left lobe of the thyroid had Tc-99m MIBI SPECT and Tl-201 chloride/Tc-99m pertechnetate subtraction SPECT after left lobectomy of the thyroid, using a triple-headed gamma...