2015
DOI: 10.1016/j.ijsu.2015.06.020
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Abstract: The results of laparoscopic adrenalectomy depend not only on the experience of the single surgeon, but on the whole team involved in perioperative care. In high volume centers with extensive experience in surgery of adrenals, this technique may provide an alternative to open surgery, also in selected cases of malignant tumours.

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Cited by 45 publications
(40 citation statements)
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References 25 publications
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“…To fully answer the question as to which surgery should first be offered to a patient with morbid obesity and adrenal tumor requiring surgical treatment, a prospective randomized study comparing two approaches (bariatric surgery following adrenal surgery, or adrenal surgery after bariatric surgery) would be of great use. As a referral high‐volume center, we have a team of surgeons with extensive expertise in laparoscopic adrenal surgery, which might influence the outcomes as well . Therefore, the present results should be interpreted as an experience of the entire minimally invasive endocrine center rather than of a single surgeon.…”
Section: Discussionmentioning
confidence: 97%
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“…To fully answer the question as to which surgery should first be offered to a patient with morbid obesity and adrenal tumor requiring surgical treatment, a prospective randomized study comparing two approaches (bariatric surgery following adrenal surgery, or adrenal surgery after bariatric surgery) would be of great use. As a referral high‐volume center, we have a team of surgeons with extensive expertise in laparoscopic adrenal surgery, which might influence the outcomes as well . Therefore, the present results should be interpreted as an experience of the entire minimally invasive endocrine center rather than of a single surgeon.…”
Section: Discussionmentioning
confidence: 97%
“…These two facts are of great importance for contemporary surgeons. First, over the past 20 years, minimally invasive adrenalectomy has practically replaced open surgery and become the gold standard in the treatment of benign as well as most malignant adrenal tumors . At the same time, laparoscopic bariatric surgery has become the gold standard for the treatment of morbid obesity .…”
Section: Introductionmentioning
confidence: 99%
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“…Prior to surgery, a routine panel of laboratory tests was carried out to establish the hormonal activity of the tumor. The operative method of choice was a laparoscopic transperitoneal lateral total adrenalectomy, which was performed as described elsewhere [1,21]. Patients in whom open approach was chosen from the beginning were excluded from the study.…”
Section: Methodsmentioning
confidence: 99%
“…According to current recommendations laparoscopic or retroperitoneoscopic approach should be preferred since it has been shown to be safe also in cases of pheochromocytoma (6). Like in other surgical disciplines minimally invasive adrenalectomy is associated with reduced pain, decreased blood loss, faster recovery and shortened length of stay (36)(37)(38)(39). Although it is generally accepted that tumors smaller than 6 cm are most suitable for laparoscopic removal, it has been shown feasible also in cases of bigger lesions (40).…”
Section: Intraoperative Considerationsmentioning
confidence: 99%