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2010 | 82 | 1 | 38-46
Article title

Qualification and Operative Difficulties of Laparoscopic Adrenalectomy

Content
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EN
Abstracts
EN
Laparoscopic adrenalectomy (LA) became referential in the treatment of adrenal pathology. However in the majority of tumors biochemical markers and imaging examinations aren't reliable to evaluate existences of the malignant process before the operation. Therefore complete resection of the adrenal gland, without damaging the capsule of the tumor remains as a significant problem.The aim of the study was to introduce the problem involving the qualification of the patients for laparoscopic adrenalectomy, and concerning the post-operative histopathologic evaluation, as well as technical aspects of the conducted laparoscopy.Material and methods. These problems are being discussed based on our experience in laparoscopic adrenalectomy. In the period 29.10.1997 - 31.01.2009 472 laparoscopic adrenalectromies were carried out via lateral transperitoneal approach. Among 457 operated patients in 13 (2.8%) conversion was necessary.Results. The malignant lesions were in 22 (4.8%) patients. 11 (2.4%) had metastases from other origin, 1 (0.2%) had Cushing's syndrome and 3 (0.6%) had pheochromocytomas. In the incidentaloma group 6 (13.1%) primary ardenocortical carcinoma and 1 (0.2%) angiosarcoma were identified.Conclusions. Laparoscopic adrenalectomy via lateral transperitoneal approach is a sufficient and safe surgical treatment of adrenal pathology.
Publisher

Year
Volume
82
Issue
1
Pages
38-46
Physical description
Dates
published
1 - 1 - 2010
online
10 - 2 - 2010
Contributors
author
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of Pathological Anatomy, Warsaw Medical University
  • Department of Family Medicine, Warsaw Medical University
author
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
References
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0007-z
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