Simforoosh, Nasser. and Soufi Majidpour, Heshmatollah. and Basiri, Abbas. and Ziaee, Seyyed Amir. and Behjati, Saeed. and Mohammad Ali Beigi, Faramarz. and Aminsharifi, Alireza. (2009) Laparoscopic adrenalectomy: 10-year experience, 67 procedures. Urology journal, 5 (1).
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Abstract
Introduction: The purpose of this study was to evaluate the short-term and long-term results of laparoscopic adrenalectomies carried out in our center. Materials and Methods: A total of 67 laparoscopic adrenalectomies were performed during the 10 years between 1995 and 2005 at Shahid Labbafinejad Medical Center. A transperitoneal lateral approach was used in 65 (97.0%) of the patients, and retroperitoneal approach was used in 2 (3.0%). The clinical characteristics and the outcomes were reviewed in a retrospective study. Results: Indications for laparoscopic adrenalectomy in our patients were as follows: pheochromocytoma in 28 patients (41.8%), aldosteroneproducing adenoma in 15 (22.4%), pseudocyst in 6 (9.0%), Cushing syndrome (macronodular adrenocortical hyperplasia) in 5 (7.5%), nonfunctioning adenoma (incidentaloma) in 5 (7.5%), myelolipoma in 2 (3.0%), almost normal adrenal tissue in 2 (3.0%), adrenal cyst in 2 (3.0%), adenocarcinoma in 1 (1.4%), and schwannoma in 1 (1.4%). The mean operative time for unilateral cases was 149.0 ± 36.1 minutes. The mean intraoperative blood loss was 126 ± 36 mL. Conversion rate to open surgery was 7.5%. Reoperation due to hemorrhage was performed in 1 patient. Conclusion: Laparoscopic adrenalectomy is a safe procedure in some adrenal tumors and a reasonable option for selected large adrenal tumors when complete resection is technically feasible and there is no evidence of local invasion.
Item Type: | Article |
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Uncontrolled Keywords: | laparoscopy,adrenalectomy, pheochromocytoma, transperitoneal approach |
Subjects: | WJ Urogenital System WO Surgery |
Divisions: | Faculty of Medicine > Department of Clinical Sciences > Department of Urology |
Depositing User: | Users 1 not found. |
Date Deposited: | 20 Dec 2017 09:52 |
Last Modified: | 05 Feb 2018 10:39 |
URI: | http://eprints.skums.ac.ir/id/eprint/6676 |
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