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Surgical Endoscopy
Published in: Surgical Endoscopy 3/2006

01-03-2006 | Review article/Dynamic manuscript

Minimal access adrenal surgery

Author: L. M. Brunt

Published in: Surgical Endoscopy | Issue 3/2006

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Abstract

Laparoscopic adrenalectomy has become the preferred method for removal of most adrenal tumors. An important component in selecting patients for this operation is to understand the clinical presentation and diagnostic workup for the various functioning and nonfunctioning adrenal tumors. In this review, an overview of the key clinical and diagnostic aspects of the most common adrenal tumors is presented. The indications and contraindications for a laparoscopic approach are discussed and the technique for laparoscopic adrenalectomy is then presented with inclusion of video links to demonstrate the technique. A review of the results of laparoscopic adrenalectomy is then considered with regard to common outcome measures and complications. A current controversy in adrenal surgery is the role of laparoscopic adrenalectomy in the management of patients with large tumors and malignant or potentially malignant adrenal lesions and the literature on this topic is reviewed in detail. The article concludes with a discussion of the indications and technique for partial adrenalectomy.
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Metadata
Title
Minimal access adrenal surgery
Author
L. M. Brunt
Publication date
01-03-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 3/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-004-8269-3

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