Retroperitoneoscopic Adrenalectomy: Comparison of Retrograde and Antegrade Approach Among a Series of 279 Cases

Huyghe, É.; Crenn, G.; Duly-Bouhanick, B.; Vezzosi, Delphine; Bennet, A.; Atallah, Fouad; Mazerolles, Michel; Salloum, A.; Thoulouzan, M.; Delaunay, B.; Grunenwald, Solange; Amar, Jacques; Plante, Pierre; Chamontin, B.; Caron, Philippe; Soulié, M.

doi:10.1016/j.urology.2012.08.059

Cited by 14 publications

(9 citation statements)

References 15 publications

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“…According to previous studies, intraoperative HI was defined as the presence of at least one intraoperative SBP >200 mm Hg episode and/or at least one intraoperative DBP <80 mm Hg episode . Postoperative complications were collected and classified using the Clavien‐Dindo classification …”

Section: Methodsmentioning

confidence: 99%

Preoperative risk factors for haemodynamic instability during pheochromocytoma surgery in Chinese patients

Jiang

Ding

et al. 2018

Clinical Endocrinology

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HI is common among Chinese patients undergoing surgery for pheochromocytoma. Our study identified three predictive factors for intraoperative HI: a large tumour diameter, diabetes/prediabetes and a great preoperative systolic blood pressure fluctuation. Furthermore, patients are more likely to suffer from HI when they have more predictive risk factors. Identification of these risk factors can help to improve perioperative management.

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Section: Methodsmentioning

confidence: 99%

Preoperative risk factors for haemodynamic instability during pheochromocytoma surgery in Chinese patients

Jiang

Ding

et al. 2018

Clinical Endocrinology

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“…Retroperitoneal adrenalectomy can be performed through a dorsal approach 6 . In these series, however, the mean operative time was 65 to 194 minutes and the complication rate was 3.2% to 11.0% 3 – 6 . Anatomic retroperitoneal adrenalectomy, which is characterised by “three bloodless planes” through a lateral retroperitoneal approach, has been proven safe, effective, and technically efficient for surgical treatment of adrenal disease.…”

Section: Introductionmentioning

confidence: 75%

“…In retroperitoneoscopic adrenalectomy, access to the adrenal gland routinely proceeds from initial dissection of the renal hilum and renal vein to resultant identification of the adrenal vein and then to the adrenal gland 3 . Another adrenalectomy technique involves initial dissection of the perinephric fat covering the kidney and adrenal gland from the surrounding muscles.…”

Section: Introductionmentioning

confidence: 99%

Single-plane retroperitoneoscopic adrenalectomy: a new operative procedure for benign adrenal disease

Wang

Zhang

et al. 2018

Sci Rep

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To evaluate the therapeutic effect of single-plane retroperitoneoscopic adrenalectomy. From February 2014 to March 2017, 251 patients underwent single-plane retroperitoneoscopic adrenalectomy, and their operative outcomes were compared with those of 98 patients who underwent anatomical three-plane retroperitoneoscopic adrenalectomy. Among 35 patients with a body mass index (BMI) of ≥30 kg/m2, their operative outcomes were compared between two operative procedures. The demographic data and perioperative outcomes of the patients were statistically analysed. The single-plane and three-plane groups were comparable in terms of estimated blood loss, time to oral intake, hospital stay, and incidence of complications among patients with similar baseline demographics. The single-plane group had a significantly shorter operation time (46.9 ± 5.8 vs 54.8 ± 7.0 mins, P < 0.0001) and lower analgesia requirement (56/251 vs 33/98, p = 0.03). For obese patients with a BMI of ≥30 kg/m2, single-plane adrenalectomy was also associated with a significantly shorter operation time(48.1 ± 6.2 vs 64.1 ± 5.1 mins, p < 0.0001). Single-plane retroperitoneoscopic adrenalectomy is feasible, safe, and effective in the treatment of adrenal masses <5 cm in size and provides a shorter operation time and better pain control than anatomical retroperitoneal adrenalectomy, especially in obese patients.

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“…Retroperitoneoscopic approaches for retroperitoneal tumors, including adrenal tumors, have been reported. However, as the tumor in our present case was located toward the head, the surgical manipulations required for a dorsal approach would have been difficult due to interference with costal bones .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic resection of a paraganglioma located on the border of the thoracic and abdominal cavities using a transabdominal‐transdiaphragmatic approach

Saito

Hirai

Nakazawa

et al. 2015

Asian J Endoscop Surgery

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We treated a 64-year-old woman with high blood pressure. Catecholamine metabolite levels were elevated in the blood and urine. CT revealed a densely stained tumor on the right side of the descending aorta dorsal to the inferior vena cava. PET-CT revealed abnormal accumulation of (18) F-fluorodeoxyglucose, and (123) I-meta-iodo-benzylguanidine uptake was apparent on scintigraphy. The tumor was determined to be a paraganglioma located on the border between the thoracic and abdominal cavities, and laparoscopic tumorectomy was performed. The patient was placed in the left lateral position. The right lobe of the liver was turned over, and we cut the diaphragm to expose the front of the tumor. We resected the straight artery flowing in from the aorta and removed the tumor safely. Herein, we describe the removal of a paravertebral paraganglioma located in the border of the thoracic and abdominal cavities with a laparoscopic transabdominal-transdiaphragmatic approach.

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Retroperitoneoscopic Adrenalectomy: Comparison of Retrograde and Antegrade Approach Among a Series of 279 Cases

Cited by 14 publications

References 15 publications

Preoperative risk factors for haemodynamic instability during pheochromocytoma surgery in Chinese patients

Preoperative risk factors for haemodynamic instability during pheochromocytoma surgery in Chinese patients

Single-plane retroperitoneoscopic adrenalectomy: a new operative procedure for benign adrenal disease

Laparoscopic resection of a paraganglioma located on the border of the thoracic and abdominal cavities using a transabdominal‐transdiaphragmatic approach

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