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Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer
OBJECTIVE: To discuss the clinical application of laparoscopic anatomical adrenalectomy via the renal cortex surface in the operation of adrenal masses. METHODS: A retrospective analysis was performed on 231 patients with adrenal masses who were received and cured in the urology department of the Af...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Professional Medical Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260897/ https://www.ncbi.nlm.nih.gov/pubmed/32494262 http://dx.doi.org/10.12669/pjms.36.4.2102 |
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author | Ma, Tao Yang, Wen-zeng Cui, Zhenyu Zhao, Chunli |
author_facet | Ma, Tao Yang, Wen-zeng Cui, Zhenyu Zhao, Chunli |
author_sort | Ma, Tao |
collection | PubMed |
description | OBJECTIVE: To discuss the clinical application of laparoscopic anatomical adrenalectomy via the renal cortex surface in the operation of adrenal masses. METHODS: A retrospective analysis was performed on 231 patients with adrenal masses who were received and cured in the urology department of the Affiliated Hospital of Hebei University from July 2016 to January 2019. All patients received retroperitoneal adrenalectomy by means of laparoscopic anatomical adrenalectomy via the renal cortex surface. Operation duration, bleeding volume, postoperative complications, retention time of the drainage tube were measured and analyzed, and postoperative follow-up surveys were administered. RESULTS: All cases were successfully operated. Two cases were converted to open surgery due to the presence of large adrenal tumors, and the patients suffered no significant complications. The mean operation duration, bleeding volume and retention time of the drainage tube were 31 minutes, 20 mL and 1.2±0.6 d, respectively. In terms of the postoperative pathology of adrenal tumors, 183 cases were shown to have adenomas, 34 had pheochromocytomas, nine had schwannomas, 3 had metastases from lung cancer, and two had sarcomas. A total of 174 patients were followed up for three to 18 months. Only one case with sarcoma that relapsed within half a year of the operation. CONCLUSION: In the treatment of adrenal masses, laparoscopic anatomical adrenalectomy via the renal cortex surface has many advantages including the large operation space, clear view of anatomical markers, little bleeding, small trauma, few postoperative complications, simple operational procedures and short learning curves. This technique needs clinical promotion. |
format | Online Article Text |
id | pubmed-7260897 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Professional Medical Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-72608972020-06-02 Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer Ma, Tao Yang, Wen-zeng Cui, Zhenyu Zhao, Chunli Pak J Med Sci Original Article OBJECTIVE: To discuss the clinical application of laparoscopic anatomical adrenalectomy via the renal cortex surface in the operation of adrenal masses. METHODS: A retrospective analysis was performed on 231 patients with adrenal masses who were received and cured in the urology department of the Affiliated Hospital of Hebei University from July 2016 to January 2019. All patients received retroperitoneal adrenalectomy by means of laparoscopic anatomical adrenalectomy via the renal cortex surface. Operation duration, bleeding volume, postoperative complications, retention time of the drainage tube were measured and analyzed, and postoperative follow-up surveys were administered. RESULTS: All cases were successfully operated. Two cases were converted to open surgery due to the presence of large adrenal tumors, and the patients suffered no significant complications. The mean operation duration, bleeding volume and retention time of the drainage tube were 31 minutes, 20 mL and 1.2±0.6 d, respectively. In terms of the postoperative pathology of adrenal tumors, 183 cases were shown to have adenomas, 34 had pheochromocytomas, nine had schwannomas, 3 had metastases from lung cancer, and two had sarcomas. A total of 174 patients were followed up for three to 18 months. Only one case with sarcoma that relapsed within half a year of the operation. CONCLUSION: In the treatment of adrenal masses, laparoscopic anatomical adrenalectomy via the renal cortex surface has many advantages including the large operation space, clear view of anatomical markers, little bleeding, small trauma, few postoperative complications, simple operational procedures and short learning curves. This technique needs clinical promotion. Professional Medical Publications 2020 /pmc/articles/PMC7260897/ /pubmed/32494262 http://dx.doi.org/10.12669/pjms.36.4.2102 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ma, Tao Yang, Wen-zeng Cui, Zhenyu Zhao, Chunli Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer |
title | Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer |
title_full | Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer |
title_fullStr | Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer |
title_full_unstemmed | Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer |
title_short | Experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer |
title_sort | experience in the application of laparoscopic anatomical adrenalectomy via the renal cortex surface monolayer |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260897/ https://www.ncbi.nlm.nih.gov/pubmed/32494262 http://dx.doi.org/10.12669/pjms.36.4.2102 |
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