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Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results
BACKGROUND: Several laparoscopic approaches to the adrenal gland have been described. We prefer the lateral transabdominal approach. The aim of this study is to evaluate prospectively the presence of any anatomical and dynamic changes in the spleen after laparoscopic transperitoneal left adrenalecto...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4801995/ https://www.ncbi.nlm.nih.gov/pubmed/26139504 http://dx.doi.org/10.1007/s00464-015-4363-y |
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author | Cianci, Pasquale Fersini, Alberto Tartaglia, Nicola Altamura, Amedeo Lizzi, Vincenzo Stoppino, Luca Pio Macarini, Luca Ambrosi, Antonio Neri, Vincenzo |
author_facet | Cianci, Pasquale Fersini, Alberto Tartaglia, Nicola Altamura, Amedeo Lizzi, Vincenzo Stoppino, Luca Pio Macarini, Luca Ambrosi, Antonio Neri, Vincenzo |
author_sort | Cianci, Pasquale |
collection | PubMed |
description | BACKGROUND: Several laparoscopic approaches to the adrenal gland have been described. We prefer the lateral transabdominal approach. The aim of this study is to evaluate prospectively the presence of any anatomical and dynamic changes in the spleen after laparoscopic transperitoneal left adrenalectomy (LTLA), which can cause an increased risk of early and late complications. METHODS: We have evaluated 21 patients before and 6 months after surgery in order to verify the possible presence of a wandering spleen. A clinical and instrumental follow-up [ultrasound (US), magnetic resonance (MR)] were performed. During US protocol, in supine, right lateral, and orthostatic position, the longitudinal and anteroposterior diameter of the spleen and the resistive index within 3 cm of the origin of the splenic artery in three different measurements averaged were measured. MR protocol evaluated, in supine and right lateral position, the splenic volume and its distances from the diaphragm dome and the lateral margin of the costal arch. RESULTS: p Values calculated for each parameter were not statistically significant. Our results confirm the absence of any anatomical and dynamic changes in the spleen after LTLA. CONCLUSIONS: The most common complications after laparoscopic adrenalectomy are well known and widely described. Our experience does not exclude the occurrence of a wandering spleen, but allows us to state that a rightful mobilization of the pancreaticosplenic block can avoid this event, and in agreement with other authors, the presence of a wandering spleen remains an isolated complication. |
format | Online Article Text |
id | pubmed-4801995 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-48019952016-04-06 Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results Cianci, Pasquale Fersini, Alberto Tartaglia, Nicola Altamura, Amedeo Lizzi, Vincenzo Stoppino, Luca Pio Macarini, Luca Ambrosi, Antonio Neri, Vincenzo Surg Endosc Article BACKGROUND: Several laparoscopic approaches to the adrenal gland have been described. We prefer the lateral transabdominal approach. The aim of this study is to evaluate prospectively the presence of any anatomical and dynamic changes in the spleen after laparoscopic transperitoneal left adrenalectomy (LTLA), which can cause an increased risk of early and late complications. METHODS: We have evaluated 21 patients before and 6 months after surgery in order to verify the possible presence of a wandering spleen. A clinical and instrumental follow-up [ultrasound (US), magnetic resonance (MR)] were performed. During US protocol, in supine, right lateral, and orthostatic position, the longitudinal and anteroposterior diameter of the spleen and the resistive index within 3 cm of the origin of the splenic artery in three different measurements averaged were measured. MR protocol evaluated, in supine and right lateral position, the splenic volume and its distances from the diaphragm dome and the lateral margin of the costal arch. RESULTS: p Values calculated for each parameter were not statistically significant. Our results confirm the absence of any anatomical and dynamic changes in the spleen after LTLA. CONCLUSIONS: The most common complications after laparoscopic adrenalectomy are well known and widely described. Our experience does not exclude the occurrence of a wandering spleen, but allows us to state that a rightful mobilization of the pancreaticosplenic block can avoid this event, and in agreement with other authors, the presence of a wandering spleen remains an isolated complication. Springer US 2015-07-03 2016 /pmc/articles/PMC4801995/ /pubmed/26139504 http://dx.doi.org/10.1007/s00464-015-4363-y Text en © The Author(s) 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Article Cianci, Pasquale Fersini, Alberto Tartaglia, Nicola Altamura, Amedeo Lizzi, Vincenzo Stoppino, Luca Pio Macarini, Luca Ambrosi, Antonio Neri, Vincenzo Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results |
title | Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results |
title_full | Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results |
title_fullStr | Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results |
title_full_unstemmed | Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results |
title_short | Spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results |
title_sort | spleen assessment after laparoscopic transperitoneal left adrenalectomy: preliminary results |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4801995/ https://www.ncbi.nlm.nih.gov/pubmed/26139504 http://dx.doi.org/10.1007/s00464-015-4363-y |
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