دورية أكاديمية
أعرض في EDS

Laparoscopic adrenalectomy--10-year experience at a teaching hospital.

التفاصيل البيبلوغرافية
العنوان: Laparoscopic adrenalectomy--10-year experience at a teaching hospital.
المؤلفون: Sommerey S; Department of Surgery, Innenstadt Medical Campus, Ludwig-Maximilians University, Nussbaumstrasse 20, 80336, Munich, Germany., Foroghi Y, Chiapponi C, Baumbach SF, Hallfeldt KK, Ladurner R, Gallwas JK
المصدر: Langenbeck's archives of surgery [Langenbecks Arch Surg] 2015 Apr; Vol. 400 (3), pp. 341-7. Date of Electronic Publication: 2015 Feb 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9808285 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-2451 (Electronic) Linking ISSN: 14352443 NLM ISO Abbreviation: Langenbecks Arch Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Berlin : Springer-Verlag, c1998-
مواضيع طبية MeSH: Adrenal Gland Diseases/*surgery , Adrenalectomy/*methods , Laparoscopy/*methods, Adrenalectomy/education ; Adult ; Aged ; Female ; Hospitals, Teaching ; Humans ; Laparoscopy/education ; Learning Curve ; Male ; Middle Aged ; Postoperative Complications ; Treatment Outcome
مستخلص: Background: Minimally invasive adrenalectomy has been adopted as the treatment of choice for benign adrenal tumors. This study aimed to investigate the outcome of laparoscopic adrenalectomies performed over a 10-year period at a teaching hospital.
Methods: All laparoscopic adrenalectomies carried out between 1 April 2000 and 31 March 2010 were evaluated with respect to perioperative management, complications, conversion rate, learning curve, tumor size, and surgically relevant characteristics of different adrenal pathologies.
Results: Over a period of 10 years, 215 laparoscopic lateral transabdominal adrenalectomies were carried out for Conn's syndrome (n = 90), Cushing's syndrome (n = 72), pheochromocytoma (n = 30), metastatic disease (n = 8), incidentalomas (n = 10), and other rare adrenal pathologies (n = 5). Morbidity, mortality, and conversion rate were 7.0, 0.9, and 4.2 %, respectively. Patients with Cushing's disease and bilateral adrenalectomy showed a higher complication rate. In retrospect, the indication for a laparoscopic approach was at least questionable in five cases. During these 10 years, four surgeons unfamiliar with the technique received intensive training to a defined plan.
Conclusions: Laparoscopic adrenalectomy represents a safe operating technique associated with few complications and a low conversion rate. Patients with severe Cushing's disease are prone to complications and require intensive monitoring postoperatively. Laparoscopic adrenalectomy is associated with a learning curve, and particular emphasis should be given to surgical training.
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تواريخ الأحداث: Date Created: 20150228 Date Completed: 20160311 Latest Revision: 20181113
رمز التحديث: 20231215
DOI: 10.1007/s00423-015-1287-x
PMID: 25721680
قاعدة البيانات: MEDLINE
الوصف
تدمد:1435-2451
DOI:10.1007/s00423-015-1287-x