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Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience

INTRODUCTION: Lateral transabdominal adrenalectomy (LTA) is the most common minimally invasive technique used to treat patients with adrenal tumors. AIM: To analyze intra-operative and post-operative complications and reasons for conversion to open surgery in patients who underwent LTA and had previ...

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Autores principales: Toutounchi, Sadegh, Pogorzelski, Ryszard, Legocka, Małgorzata E., Krajewska, Ewa, Celejewski, Krzysztof, Ambroziak, Urszula, Gałązka, Zbigniew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174173/
https://www.ncbi.nlm.nih.gov/pubmed/30302139
http://dx.doi.org/10.5114/wiitm.2018.77706
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author Toutounchi, Sadegh
Pogorzelski, Ryszard
Legocka, Małgorzata E.
Krajewska, Ewa
Celejewski, Krzysztof
Ambroziak, Urszula
Gałązka, Zbigniew
author_facet Toutounchi, Sadegh
Pogorzelski, Ryszard
Legocka, Małgorzata E.
Krajewska, Ewa
Celejewski, Krzysztof
Ambroziak, Urszula
Gałązka, Zbigniew
author_sort Toutounchi, Sadegh
collection PubMed
description INTRODUCTION: Lateral transabdominal adrenalectomy (LTA) is the most common minimally invasive technique used to treat patients with adrenal tumors. AIM: To analyze intra-operative and post-operative complications and reasons for conversion to open surgery in patients who underwent LTA and had previous abdominal surgery. MATERIAL AND METHODS: Five hundred and nineteen patients underwent LTA in our center between 2005 and 2016. We identified a study group of 150 patients, with previous abdominal surgery. We analyzed the frequency of intra-operative and post-operative complications and the reasons for conversion from laparoscopic to open adrenalectomy. RESULTS: The patients’ mean age was 58; they underwent LTA due to hormonally active tumors (n = 79, 53%) and non-functioning adrenal tumors (n = 71, 47%). The size of adrenal lesions ranged from 20 mm to 90 mm. Seventy-eight (52%) adrenal lesions were found in the right adrenal gland, and 72 (48%) lesions in the left adrenal gland. The mean operating time was 130 min. The mean stay in hospital was five days. The intra-operative complications included blood pressure fluctuations (n = 32), abnormal vascular supply of the adrenal glands causing difficulties with dissections (n = 3), and respiratory problems (n = 1). Two (1.3%) patients had post-operative bleeding at the site of removed adrenal glands; 1 patient had an exacerbation of asthma postoperatively. Of the 150 patients analyzed, 3 (2%) required conversion to open adrenalectomy. The conversions were not caused by abdominal adhesions. CONCLUSIONS: Lateral transabdominal adrenalectomy is feasible and safe in patients with previous abdominal surgery. In our study, conversion from laparoscopic to open adrenalectomy was not caused by abdominal adhesions.
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spelling pubmed-61741732018-10-09 Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience Toutounchi, Sadegh Pogorzelski, Ryszard Legocka, Małgorzata E. Krajewska, Ewa Celejewski, Krzysztof Ambroziak, Urszula Gałązka, Zbigniew Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Lateral transabdominal adrenalectomy (LTA) is the most common minimally invasive technique used to treat patients with adrenal tumors. AIM: To analyze intra-operative and post-operative complications and reasons for conversion to open surgery in patients who underwent LTA and had previous abdominal surgery. MATERIAL AND METHODS: Five hundred and nineteen patients underwent LTA in our center between 2005 and 2016. We identified a study group of 150 patients, with previous abdominal surgery. We analyzed the frequency of intra-operative and post-operative complications and the reasons for conversion from laparoscopic to open adrenalectomy. RESULTS: The patients’ mean age was 58; they underwent LTA due to hormonally active tumors (n = 79, 53%) and non-functioning adrenal tumors (n = 71, 47%). The size of adrenal lesions ranged from 20 mm to 90 mm. Seventy-eight (52%) adrenal lesions were found in the right adrenal gland, and 72 (48%) lesions in the left adrenal gland. The mean operating time was 130 min. The mean stay in hospital was five days. The intra-operative complications included blood pressure fluctuations (n = 32), abnormal vascular supply of the adrenal glands causing difficulties with dissections (n = 3), and respiratory problems (n = 1). Two (1.3%) patients had post-operative bleeding at the site of removed adrenal glands; 1 patient had an exacerbation of asthma postoperatively. Of the 150 patients analyzed, 3 (2%) required conversion to open adrenalectomy. The conversions were not caused by abdominal adhesions. CONCLUSIONS: Lateral transabdominal adrenalectomy is feasible and safe in patients with previous abdominal surgery. In our study, conversion from laparoscopic to open adrenalectomy was not caused by abdominal adhesions. Termedia Publishing House 2018-08-19 2018-09 /pmc/articles/PMC6174173/ /pubmed/30302139 http://dx.doi.org/10.5114/wiitm.2018.77706 Text en Copyright: © 2018 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Original Paper
Toutounchi, Sadegh
Pogorzelski, Ryszard
Legocka, Małgorzata E.
Krajewska, Ewa
Celejewski, Krzysztof
Ambroziak, Urszula
Gałązka, Zbigniew
Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience
title Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience
title_full Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience
title_fullStr Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience
title_full_unstemmed Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience
title_short Lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience
title_sort lateral laparoscopic adrenalectomy in patients with previous abdominal surgery – single-center experience
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174173/
https://www.ncbi.nlm.nih.gov/pubmed/30302139
http://dx.doi.org/10.5114/wiitm.2018.77706
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