دورية أكاديمية
Initial experience of hand-assisted laparoscopic adrenalectomy (HALA)
| العنوان: | Initial experience of hand-assisted laparoscopic adrenalectomy (HALA) |
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| المؤلفون: | Kwang-Seop Song, Young Jun Chai, Se Hyun Paek, Hyungju Kwon, Su-jin Kim, June Young Choi, Do Hoon Koo, Kyu Eun Lee, Yeo-Kyu Youn |
| المصدر: | Korean Journal of Clinical Oncology, Vol 9, Iss 2, Pp 119-123 (2013) |
| بيانات النشر: | Korean Society of Surgical Oncology, 2013. |
| سنة النشر: | 2013 |
| المجموعة: | LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens LCC:Surgery |
| مصطلحات موضوعية: | adrenalectomy, hand-assisted laparoscopy, laparoscopy adrenal incidentaloma, pheochromocytoma, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282, Surgery, RD1-811 |
| الوصف: | Purpose: Laparoscopic adrenalectomy has been a standard method for adrenal gland tumors. On the other hand, hand-assisted laparoscopic adrenalectomy is an operative method which enables operator to use a hand to facilitate dissection and retraction. The aim of this study was to report initial experience of hand-assisted laparoscopic adrenalectomy and to evaluate potentialities for surgical application. Methods: Seven patients who underwent hand-assisted adrenalectomy from September 2010 to July 2013 were enrolled. Clinicopathological characteristics, intraoperative hemodynamic status, and parameters associated with postoperative recovery were reviewed. Surgical indications for hand-assisted laparoscopic adrenalectomy were right side adrenal tumors larger than 4 cm on preoperative computed tomography (CT) scan. Mean age was 36.9 years (range, 23 to 51 years) and there were 3 men and 4 women. Results: The mean size of adrenal tumor was 6.1±2.4 cm. Operation time was 119.4±29.7 minutes in average and mean blood loss was 142.9±109.7 mL. There were 4 patients with pheochromocytoma, one patient for each adrenocortical neoplasm, paraganglioma and lymphoma. Intraoperative hypertensive crisis were observed in 2 patients with pheochromocytoma and there was no intraoperative tachycardia crisis. Patients had first oral intake at 1.4±0.8 days in average and mean postoperative hospital stay was 3.4±1.3 days. There was no postoperative complication and mortality. The median follow-up was 12 months and there was no case with evidence of recurrence during the periods. Conclusion: In our initial experience, hand-assisted laparoscopic adrenalectomy was performed safely and effectively. Hand-assisted laparoscopic adrenalectomy might be an alternative to laparoscopic adrenalectomy for moderate sized right side adrenal tumors. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1738-8082 2288-4084 |
| Relation: | http://www.kjco.org/upload/kjco-9-2-119-10.pdf; https://doaj.org/toc/1738-8082; https://doaj.org/toc/2288-4084 |
| DOI: | 10.14216/kjco.13022 |
| URL الوصول: | https://doaj.org/article/6e36edfb6d874d159e66dbf7edb79947 |
| رقم الأكسشن: | edsdoj.6e36edfb6d874d159e66dbf7edb79947 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17388082 22884084 |
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| DOI: | 10.14216/kjco.13022 |