دورية أكاديمية
An update of posterior retroperitoneoscopic adrenalectomy - Case series.
| العنوان: | An update of posterior retroperitoneoscopic adrenalectomy - Case series. |
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| المؤلفون: | Costa Almeida CE; General Surgery, Centro Hospitalar e Universitário de Coimbra (Hospital Geral - Covões), Quinta dos vales, São Martinho do Bispo, 3041-853 Coimbra, Portugal. Electronic address: carloscostaalmeida@yahoo.com., Caroço T; General Surgery, Instituto Português de Oncologia de Coimbra Francisco Gentil, Av. Bissaya Barreto, 2005 Coimbra, Portugal. Electronic address: tvieiracaroco@gmail.com., Silva MA; General Surgery, Centro Hospitalar e Universitário de Coimbra (Hospital Geral - Covões), Quinta dos vales, São Martinho do Bispo, 3041-853 Coimbra, Portugal. Electronic address: mafr.silva@gmail.com., Baião JM; General Surgery, Instituto Português de Oncologia de Coimbra Francisco Gentil, Av. Bissaya Barreto, 2005 Coimbra, Portugal. Electronic address: josempbaiao@gmail.com., Costa A; General Surgery, Centro Hospitalar e Universitário de Coimbra (Hospital Geral - Covões), Quinta dos vales, São Martinho do Bispo, 3041-853 Coimbra, Portugal. Electronic address: ana.is.valentecosta@gmail.com., Albano MN; General Surgery, Centro Hospitalar e Universitário de Coimbra (Hospital Geral - Covões), Quinta dos vales, São Martinho do Bispo, 3041-853 Coimbra, Portugal. Electronic address: miguelalbano@gmail.com., Louro JM; General Surgery, Centro Hospitalar e Universitário de Coimbra (Hospital Geral - Covões), Quinta dos vales, São Martinho do Bispo, 3041-853 Coimbra, Portugal. Electronic address: joaomendeslouro@gmail.com., Carvalho LF; General Surgery, Centro Hospitalar e Universitário de Coimbra (Hospital Geral - Covões), Quinta dos vales, São Martinho do Bispo, 3041-853 Coimbra, Portugal. Electronic address: luisfcarvalho@netcabo.pt. |
| المصدر: | International journal of surgery case reports [Int J Surg Case Rep] 2020; Vol. 71, pp. 120-125. Date of Electronic Publication: 2020 May 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101529872 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2210-2612 (Print) Linking ISSN: 22102612 NLM ISO Abbreviation: Int J Surg Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Amsterdam] : Elsevier B.V. |
| مستخلص: | Introduction: Posterior retroperitoneoscopic adrenalectomy (PRA) has advantages over transperitoneal approach. A second group of 10 patients is analyzed and compared with the first 10 procedures. Conclusions on feasibility, safety and learning curve are taken. Material and Methods: A retrospective analysis of a second group of 10 patients submitted to PRA was conducted. All patients with functioning and non-functioning adrenal tumors <6-8 cm and without features of malignancy were included. A comparison with the previous 10 cases was conducted, and the results of all 20 cases were compared with other surgeons. Results: Pre-operative diagnoses: Conn's syndrome - 8 (80%); Pheochromocytoma - 1 (10%); Non-functioning tumor (≥ 4 cm) - 1 (10%). Mean size of adrenal tumors was 2,9 cm. Mean operative time for first group was 46,7 min and 31,1 min for the second (p = 0,036). Postoperative in-hospital days decreased in the second group (p = 0,01). Conversion rate was equal (10%). Morbidity and mortality were similar. Discussion: Comparing the evolution of operative time in both groups, a constant and faster operative time was noted for the second group and a decreasing linear tendency was noted as more cases were being performed. Postoperative in-hospital days lowered in the second group, because with experience we started discharging patients earlier. Outcomes are stable between both groups. Our results match other authors data. Conclusion: These results are consistent with our first report and support the small learning curve for PRA, which is technically feasible and safe. Operative time and in-hospital days are influenced by surgeon's experience. More cases need to be collected so that these results can be validated. (Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.) |
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| فهرسة مساهمة: | Keywords: Adrenal; Endocrine; Minimal invasive surgery; Posterior retroperitoneoscopic adrenalectomy |
| تواريخ الأحداث: | Date Created: 20200525 Latest Revision: 20210110 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC7256207 |
| DOI: | 10.1016/j.ijscr.2020.04.101 |
| PMID: | 32446990 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 2210-2612 |
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| DOI: | 10.1016/j.ijscr.2020.04.101 |