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Updates in Surgery
Published in: Updates in Surgery 2/2017

01-06-2017 | Review Article

Adrenalectomy: indications and options for treatment

Authors: Giovanni Alemanno, Carlo Bergamini, Paolo Prosperi, Andrea Valeri

Published in: Updates in Surgery | Issue 2/2017

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Abstract

The history of adrenal surgery is longstanding. Firstly described in 1889 by Thornton, the open adrenalectomy has been for decades the only surgical approach to adrenal diseases. Nowadays, instead, several approaches to adrenal glands have been described in the literature, such as laparoscopic adrenalectomy, robotic-assisted procedure and single-incision technique. Actually, laparoscopic adrenalectomy is considered as the gold standard treatment for adrenal lesions. In fact, all functional tumors, including pheochromocytoma, are candidates for a laparoscopic approach in the absence of other contraindications. In the adrenal gland surgery, it is important to consider that a multidisciplinary approach which comprises surgeons, anesthesiologists, endocrinologists, and oncologists plays an important role in the management of patients and that the success of the procedure is related also to surgeon experience and hospital volume. This review aims to discuss the indications for adrenalectomy and to describe the different techniques options for the adrenal gland surgery.
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Metadata
Title
Adrenalectomy: indications and options for treatment
Authors
Giovanni Alemanno
Carlo Bergamini
Paolo Prosperi
Andrea Valeri
Publication date
01-06-2017
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 2/2017
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-017-0441-0

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