Cargando…

Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma?

Objective. To compare laparoendoscopic single-site (LESS) and conventional multiport adrenalectomy in patients with aldosterone-producing adenoma (APA). Material and Methods. We retrospectively reviewed patients who had been clinically confirmed with unilateral APA and who underwent LESS or multipor...

Descripción completa

Detalles Bibliográficos
Autores principales: Wu, Che-Hsiung, Er, Leay-Kiaw, Hu, Ya-Hui, Lin, Chia Da, Chueh, Shih-Chieh, Tsai, Yao-Chou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5128693/
https://www.ncbi.nlm.nih.gov/pubmed/27975056
http://dx.doi.org/10.1155/2016/6894381
_version_ 1782470452085522432
author Wu, Che-Hsiung
Er, Leay-Kiaw
Hu, Ya-Hui
Lin, Chia Da
Chueh, Shih-Chieh
Tsai, Yao-Chou
author_facet Wu, Che-Hsiung
Er, Leay-Kiaw
Hu, Ya-Hui
Lin, Chia Da
Chueh, Shih-Chieh
Tsai, Yao-Chou
author_sort Wu, Che-Hsiung
collection PubMed
description Objective. To compare laparoendoscopic single-site (LESS) and conventional multiport adrenalectomy in patients with aldosterone-producing adenoma (APA). Material and Methods. We retrospectively reviewed patients who had been clinically confirmed with unilateral APA and who underwent LESS or multiport adrenalectomy between 2009 and 2014. Perioperative data were obtained for all patients. Blood pressure and the levels of serum aldosterone, renin, and potassium were checked periodically. Results. We identified 45 APA patients in the LESS group and 71 in the multiport group. The baseline characteristics were matched between two groups. All adrenalectomies were completed successfully, except one with laparoscopic conversion in the single-port group and one open conversion in the multiport group. After a mean follow-up around one year, there were no significant group differences in the improvement of hypertension, number of types of medication taken, and cure of hypokalemia after operation. Conclusions. Our study confirm that LESS adrenalectomy achieved similar clinical and functional outcomes as conventional multiport adrenalectomy for management of unilateral APA.
format Online
Article
Text
id pubmed-5128693
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-51286932016-12-14 Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma? Wu, Che-Hsiung Er, Leay-Kiaw Hu, Ya-Hui Lin, Chia Da Chueh, Shih-Chieh Tsai, Yao-Chou Biomed Res Int Research Article Objective. To compare laparoendoscopic single-site (LESS) and conventional multiport adrenalectomy in patients with aldosterone-producing adenoma (APA). Material and Methods. We retrospectively reviewed patients who had been clinically confirmed with unilateral APA and who underwent LESS or multiport adrenalectomy between 2009 and 2014. Perioperative data were obtained for all patients. Blood pressure and the levels of serum aldosterone, renin, and potassium were checked periodically. Results. We identified 45 APA patients in the LESS group and 71 in the multiport group. The baseline characteristics were matched between two groups. All adrenalectomies were completed successfully, except one with laparoscopic conversion in the single-port group and one open conversion in the multiport group. After a mean follow-up around one year, there were no significant group differences in the improvement of hypertension, number of types of medication taken, and cure of hypokalemia after operation. Conclusions. Our study confirm that LESS adrenalectomy achieved similar clinical and functional outcomes as conventional multiport adrenalectomy for management of unilateral APA. Hindawi Publishing Corporation 2016 2016-11-16 /pmc/articles/PMC5128693/ /pubmed/27975056 http://dx.doi.org/10.1155/2016/6894381 Text en Copyright © 2016 Che-Hsiung Wu et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Wu, Che-Hsiung
Er, Leay-Kiaw
Hu, Ya-Hui
Lin, Chia Da
Chueh, Shih-Chieh
Tsai, Yao-Chou
Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma?
title Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma?
title_full Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma?
title_fullStr Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma?
title_full_unstemmed Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma?
title_short Is Laparoendoscopic Single-Site Adrenalectomy a Feasible Alternative in Treating Aldosterone-Producing Adenoma?
title_sort is laparoendoscopic single-site adrenalectomy a feasible alternative in treating aldosterone-producing adenoma?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5128693/
https://www.ncbi.nlm.nih.gov/pubmed/27975056
http://dx.doi.org/10.1155/2016/6894381
work_keys_str_mv AT wuchehsiung islaparoendoscopicsinglesiteadrenalectomyafeasiblealternativeintreatingaldosteroneproducingadenoma
AT erleaykiaw islaparoendoscopicsinglesiteadrenalectomyafeasiblealternativeintreatingaldosteroneproducingadenoma
AT huyahui islaparoendoscopicsinglesiteadrenalectomyafeasiblealternativeintreatingaldosteroneproducingadenoma
AT linchiada islaparoendoscopicsinglesiteadrenalectomyafeasiblealternativeintreatingaldosteroneproducingadenoma
AT chuehshihchieh islaparoendoscopicsinglesiteadrenalectomyafeasiblealternativeintreatingaldosteroneproducingadenoma
AT tsaiyaochou islaparoendoscopicsinglesiteadrenalectomyafeasiblealternativeintreatingaldosteroneproducingadenoma