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Langenbeck's Archives of Surgery

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01-05-2009 | Endocrine Surgery

Single access retroperitoneoscopic adrenalectomy (SARA)—one step beyond in endocrine surgery

Authors: Martin K. Walz, Piero F. Alesina

Published in: Langenbeck's Archives of Surgery | Issue 3/2009

Abstract

Introduction

Today, endoscopic adrenalectomy has become a gold standard in endocrine surgery.

Method and Results

To minimize the morbidity and improve cosmesis, a single access retroperitoneoscopic adrenalectomy (SARA) has been developed. Patients were placed in prone position. Through a single 1.5 cm skin incision at the tip of the 12th rib the creation of the retroperitoneal space and the dissection of the adrenal gland were performed. SARA was used in five patients with adrenal tumors (size: 1–4 cm; four right, one left). Operating time ranged from 35 to 70 min, mean blood loss was <10 ml. No perioperative or postoperative complications were noticed. Mean hospital stay was 2 days.

Conclusions

SARA is feasible and represents a new horizon in endocrine surgery.

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Title: Single access retroperitoneoscopic adrenalectomy (SARA)—one step beyond in endocrine surgery
Authors: Martin K. Walz
Piero F. Alesina
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 3/2009
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-008-0418-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Single access retroperitoneoscopic adrenalectomy (SARA)—one step beyond in endocrine surgery

Abstract

Introduction

Method and Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Method and Results

Conclusions

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