Endoscopic retroperitoneal adrenalectomy

Mercan, Selçuk; Seven, Rıdvan; Özarmağan, Selçuk; Tezelman, Serdar

doi:10.1016/s0039-6060(05)80116-3

Cited by 218 publications

(112 citation statements)

References 10 publications

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“…When then dissection of the gland is completed at the lateral side the specimen is removed within a bag. Laparoscopic retroperitoneal adrenalectomy was introduced in 1995 (Mercan 1995). This technique consists of approaching the adrenal gland directly through the retroperitoneal space, while not breaching the peritoneum.…”

Section: Description Of the Interventionmentioning

confidence: 99%

“…Minimally invasive adrenalectomy is now considered the standard treatment for benign adrenal masses (Jacobs 1997). Laparoscopic retroperitoneal adrenalectomy was first performed and described in 1995 (Mercan 1995). By directly entering the retroperitoneal space, and not breaching the peritoneum, this technique was advocated by the authors potentially resulting in a shorter operative time, less blood loss, less postoperative pain and shorter hospital stay (Constantinides 2012).…”

Section: How the Intervention Might Workmentioning

confidence: 99%

“…In the following years, the demonstration of the general advantages of laparoscopy, such as reduced blood loss, shorter hospital stay, and faster return to normal activity (Guazzoni 1995), together with the accumulated experience inverted the trend in favour of the laparoscopic technique, so that today laparoscopic transperitoneal adrenalectomy has become the most widely utilised procedure for people with benign adrenal disease. Introduced in 1995, laparoscopic retroperitoneal adrenalectomy was proposed as a good alternative in selected cases and it was utilised more and more frequently (Mercan 1995). Potential advantages could be a shorter operative time, less postoperative pain and shorter hospital stay (Constantinides 2012).…”

Section: Why It Is Important To Do This Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults

Arezzo

Cochetti

Cirocchi

et al. 2015

Cochrane Database of Systematic Reviews

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Section: Description Of the Interventionmentioning

confidence: 99%

Section: How the Intervention Might Workmentioning

confidence: 99%

Section: Why It Is Important To Do This Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults

Arezzo

Cochetti

Cirocchi

et al. 2015

Cochrane Database of Systematic Reviews

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“…In this study, the technical ligation of the adrenal vein sooner in the transperitoneal approach may have prevented intraoperative rise in the blood pressure (5). Mercan et al (8) successfully applied laparoscopic adrenalectomy by the retroperitoneal approach, 11 times in 8 patients. The retroperitoneal approach is indicated for bilateral adrenalectomy or for the treatment of benign adenomas smaller than 5 cm.…”

Section: Case Presentationmentioning

confidence: 99%

Cortical sparing laparoscopic adrenalectomy in a patient with Conn’s syndrome

Yetışır

Salman

Özkardeş

et al. 2013

UCD

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Conn's syndrome, an aldosterone producing adenoma, is a surgically curable cause of primary aldosteronism, classically treated by unilateral adrenalectomy. With the advent of laparoscopic surgery in the recent decade, laparoscopic adrenalectomy is currently accepted as the gold standard of treatment for Conn's syndrome. Cortical sparing adrenalectomy is especially an ideal operation for patients with bilateral pheochromocytoma. This case report describes a successful laparoscopic adrenal cortex sparing surgery on the left side and anesthetic approach in a patient with Conn's syndrome, who had a history of previous right surrenalectomy. Laparoscopic surgery without dividing the central adrenal vein can also be performed successfully in patients with Conn's syndrome.

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“…It has been shown that laparoscopic adrenalectomy (LA) results in less postoperative period pain and decreases the need for analgesics, as well as a shorter length of hospital stay, shorter operative time, less cost, and better cosmetic results as compared to open adrenalectomy (OA) (1)(2)(3)(4)(5). For these reasons, LA has become the current standard method of treatment.…”

Section: Introductionmentioning

confidence: 99%

The early results of our initial experience with robotic adrenalectomy

Akarsu

Dural

Kankaya

et al. 2014

UCD

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Objective: Robotic adrenalectomy is one of the minimally invasive surgical methods gaining wide acceptance due to the three-dimensional imaging system and ergonomics of the equipment. We aimed to present the early data on patients who underwent robotic adrenalectomy due to adrenal masses in our hospital. Material and Methods:The records of eight cases, in which a unilateral robotic trans-peritoneal adrenalectomy was conducted due to an adrenal mass between 2011 and 2013, have been evaluated. Demographic characteristics of cases, body mass index (BMI), American Society of Anesthesiologists (ASA) score, preoperative diagnosis, diameter and localization of the adrenal mass, operative time, blood loss, conversion rate to open surgery, morbidity and mortality rates, length of hospital stay, total hospital charges and postoperative pathologic results were considered. Results:The female to male ratio was 6:2, the median age was 49.5 (26-71) and the median BMI was 29.7 (21.7-38.5). An adrenalectomy was performed in six cases for a right adrenal mass and in two cases for a left adrenal mass. The mean tumor diameter was 53.6 mm (20-90). The average surgical time (including docking) was 98 min. (55-175 min.) and the average blood loss was 50 mL. The only complication was a diaphragm injury which was repaired robotically. There were no conversions to traditional laparoscopic or open surgery and there have not been any mortality in the series. The median length of hospital stay was 4.1 days (range 2-11) and the average cost was 3617.12 TL ($1808.56). Conclusion:Robotic adrenalectomy is an effective and safe surgical alternative to laparoscopic adrenalectomy. However its high cost has emerged as its main disadvantage.Key Words: Robotic adrenalectomy, minimally invasive surgery, laparoscopy, adrenal neoplasm INTRODUCTIONAfter description of laparoscopic methods in adrenal surgery, the transperitoneal approach by Gagne (1) in 1992 and the retroperitoneal approach by Mercan (2), minimally invasive surgical techniques have been adopted, and evolution of these methods have continued with subsequent advances in technology.It has been shown that laparoscopic adrenalectomy (LA) results in less postoperative period pain and decreases the need for analgesics, as well as a shorter length of hospital stay, shorter operative time, less cost, and better cosmetic results as compared to open adrenalectomy (OA) (1-5). For these reasons, LA has become the current standard method of treatment.With the introduction of robotic surgery technology in many areas of surgery, the use of more ergonomic hand instruments, and the convenience they provided to the surgeon despite high costs, have made robotic adrenalectomy (RA) emerge as an alternative method to LA, and various RA techniques have been described (6, 7).In our hospital, daVinci ® SI robotic system is being used since 2009 (Figure 1), as until the end of 2012, 459 robotic surgeries have been performed, 41 of which were done by our General Surgery Clinics (Figures 2a and 2b). Most of the robot...

show abstract

Endoscopic retroperitoneal adrenalectomy

Cited by 218 publications

References 10 publications

Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults

Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults

Cortical sparing laparoscopic adrenalectomy in a patient with Conn’s syndrome

The early results of our initial experience with robotic adrenalectomy

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