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Updates in Surgery
Published in: Updates in Surgery 4/2020

01-12-2020 | Adrenal Cancer | Original Article

Lateral retroperitoneoscopic adrenalectomy: advantages and drawbacks

Authors: Konstantin Grozdev, Nabil Khayat, Svetlana Shumarova, Gergana Ivanova, Kostadin Angelov, Georgi Todorov

Published in: Updates in Surgery | Issue 4/2020

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Abstract

Lateral retroperitoneoscopic adrenalectomy (LRA) is performed mostly by urologists. It is gaining popularity among general surgeons because of the direct access to the adrenal gland. However, the management of large tumors remains controversial. We report our experience and discuss the advantages and the drawbacks of this approach. Between December 2011 and April 2015, 89 consecutive patients underwent LRA for adrenal tumors. Conversion to open surgery, operative time, blood loss, hospital stay, intra-operative complications, early and late postoperative complications, and mortality were analyzed. The entire group was divided into patients with large tumors (> 5 cm) and patients with small tumors (≤ 5 cm), which were further compared. The conversion rate was 1.1%. The mean operative time was 107.4 ± 27.95 min, the mean blood loss 33.15 ± 25.45 ml. The mean hospital stay was 4.7 ± 2.05 days. Most of the complications were minor. There was zero mortality. Concerning the size of the tumor, we found statistically significant difference in operative time (p = 0.001), hospital stay (p = 0.020), incidence of early postoperative complications (p = 0.049), and conversion rate to open surgery (p = 0.037). LRA is a feasible, effective and safe procedure that offers additional advantages over the standard transabdominal approach because of its direct access to the adrenal gland. However, malignancy, large tumor size, bilateral pathology, and concomitant intra-abdominal pathology may represent a potential setback for this approach.
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Metadata
Title
Lateral retroperitoneoscopic adrenalectomy: advantages and drawbacks
Authors
Konstantin Grozdev
Nabil Khayat
Svetlana Shumarova
Gergana Ivanova
Kostadin Angelov
Georgi Todorov
Publication date
01-12-2020
Publisher
Springer International Publishing
Published in
Updates in Surgery / Issue 4/2020
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-020-00741-6

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