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  • 1
    Electronic Resource
    Electronic Resource
    Results of endoscopic retroperitoneal adrenalectomy (1996)
    Springer
    Surgical endoscopy and other interventional techniques 10 (1996), S. 633-635 
    Details
    ISSN: 1432-2218
    Keywords: Adrenalectomy ; Endoscopy ; Retroperitoneal adrenalectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: From March 1994 to August 1995 we performed extraperitoneal endoscopic adrenalectomy in 18 patients with adrenal gland tumors. Methods: Two of these patients underwent bilateral adrenalectomy. For the extraperitoneal approach a pneumoret-roperitoneum was established and three 10-mm trocars were inserted in the area of the conventional flank incision. Adrenalectomy was performed via these ports. Endoscopic retroperitoneal adrenalectomy was successful in 15 patients; three patients required a conventional operation via an extraperitoneal lumbar approach because of inadequate exposure of the adrenal gland. In patients with endoscopic retroperitoneal adrenalectomy median operative time amounted to 180 min (95–330). Results: No postoperative complications were observed; median postoperative hospital stay was 5 days (3–12). Conclusions: The described approach produces rapid recovery and creates less postoperative pain.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00188516
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Technique and results of the retroperitoneoscopic adrenalectomy via a lumbar approach (1998)
    Springer
    Langenbeck's archives of surgery 383 (1998), S. 286-288 
    Details
    ISSN: 1435-2451
    Keywords: Key words Retroperitoneoscopy ; Adrenalectomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Introduction: Since 1992, endoscopic techniques have been used increasingly in adrenal-gland surgery. In the present paper, the technique of the retroperitoneoscopic adrenalectomy via a lumbar approach is described. Methods: The patient is placed in a lateral decubitus position. In the first step, a dilatation trocar is introduced in the retroperitoneal space to create an artificial cavity. The dilatation trocar is replaced by a blocking trocar to close off the operating field. After insufflation of CO2, two additional trocars are introduced in the area of the conventional flank incision. Adrenalectomy is performed via these ports. Once the adrenal gland is completely mobilized, it is inserted into a sterile plastic bag and removed through the 1.5-cm incision. Conclusion: The retroperitoneoscopic approach to the adrenal gland appears to be suitable for benign adrenal-gland tumors up to a size of 6 cm.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004230050134
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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