دورية أكاديمية
Comparison of retroperitoneoscopic and transperitoneal laparoscopic adrenalectomy for right-sided benign tumors: a single-institute experience.
| العنوان: | Comparison of retroperitoneoscopic and transperitoneal laparoscopic adrenalectomy for right-sided benign tumors: a single-institute experience. |
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| المؤلفون: | Chiang PH; Department of Urology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan., Yu CJ, Lee WC, Wang HJ, Hsu WC |
| المصدر: | Urologia internationalis [Urol Int] 2015; Vol. 94 (2), pp. 144-8. Date of Electronic Publication: 2015 Jan 23. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Karger Country of Publication: Switzerland NLM ID: 0417373 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0399 (Electronic) Linking ISSN: 00421138 NLM ISO Abbreviation: Urol Int Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Basel : Karger Original Publication: Basel. |
| مواضيع طبية MeSH: | Adrenal Gland Neoplasms/*surgery , Adrenalectomy/*methods , Laparoscopy/*methods, Adrenal Gland Neoplasms/pathology ; Adrenalectomy/adverse effects ; Adult ; Aged ; Aged, 80 and over ; Blood Loss, Surgical ; Female ; Humans ; Laparoscopy/adverse effects ; Longevity ; Male ; Middle Aged ; Operative Time ; Peritoneum ; Retroperitoneal Space ; Retrospective Studies ; Taiwan ; Time Factors ; Treatment Outcome |
| مستخلص: | Introduction: There is a lack of data regarding the appropriateness of transperitoneal and retroperitoneal approaches for right-sided laparoscopic adrenalectomy. The aim of this study was to determine whether there is any difference between right-sided transperitoneal laparoscopic adrenalectomy (TLA) and retroperitoneal laparoscopic adrenalectomy (RLA). Material and Methods: Our surgery database was reviewed to identify patients who underwent right-sided laparoscopic adrenalectomy with a retroperitoneal or transperitoneal approach since 2000. Fifty-five patients were enrolled (31 RLA and 24 TLA). Patient characteristics, as well as operative and perioperative details, were compared between the two groups. Results: There was no difference in patient characteristics between the groups. There was a statistically significant difference (p=0.02) in blood loss (31.7±16.4 vs. 56.9±65.5 ml) between RLA and TLA when the patient's BMI was >26. There was no significant difference in operative time, conversion to open surgery, length of hospitalization, or time to oral intake between the groups. Conclusions: Right-sided laparoscopic adrenalectomy can be performed safely and effectively via either RLA or TLA. Surgeons can adopt either approach with confidence depending on their preference if they are familiar with that approach. (© 2015 S. Karger AG, Basel.) |
| تواريخ الأحداث: | Date Created: 20150124 Date Completed: 20151130 Latest Revision: 20150303 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1159/000357627 |
| PMID: | 25613550 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1423-0399 |
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| DOI: | 10.1159/000357627 |