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 Görüntüleme 14
 İndirme 1
Laparoscopic Approach to the Adrenal Masses: Single-Center Experience of Five Years
2020
Dergi:  
Şişli Etfal Hastanesi Tıp Bülteni
Yazar:  
Özet:

Objectives: Currently, laparoscopic adrenalectomy is the gold standard technique for suitable patients with adrenal masses. In this study, we aimed to assess the postoperative results of patients who underwent laparoscopic adrenalectomy. Methods: Between January 2014 and October 2019, 76 cases were operated and retrospectively evaluated. Laparoscopic transabdominal adrenalectomy was applied to the patients. Demographic profiles, preoperative indications, intraoperative and postoperative complications, mortality and length of hospital stay were evaluated. Results: Seventy-six patients (30 male, 46 female) with a mean age of 47.2±11.7 (range 22-71) years underwent laparoscopic adrenalectomy. Thirty-nine of the patients had right; 33 of the patients had left adrenal masses. Three patients had bilateral adrenal cortical hyperplasia. One patient was operated for paraganglioma. Conversion to open adrenalectomy was observed in four patients (5.26%). Nine patients (11.8%) experienced intraoperative and postoperative complications. Intraoperative and postoperative complications were bleeding from spleen (2 cases) and upper pole of kidney (1 case), renal artery injury (1 case), bleeding from liver parenchyma (2 cases), ischemia of spleen and pancreas (1 case), small intestinal injury (1 case) and incisional hernia (1 case). The complication rate is acceptable and comparable with other studies in the literature. Conclusion: Laparoscopic adrenalectomy can be safely applied in suitable patients with acceptable complications and low conversion rates.

Anahtar Kelimeler:

Laparoscopic Approach to Adrenal Masses: 5 Years Single Center Experience
2020
Yazar:  
Özet:

Purpose: Today, laparoscopic adrenalectomy is a gold standard technique for suitable patients with a mass in the adrenal glands. In this study, we aimed at evaluating the postoperative results of patients with laparoscopic adrenalectomy. Method: 76 patients operated between January 2014 and October 2019 were evaluated as retrospective. These patients received laparoscopic transabdominal adrenalectomy. Demographic information, preoperative indications, intraoperative and postoperative complications, mortality and hospitalization periods were assessed. Results: 76 patients with an average age of 47.2±11.7 (22-71) (30 men, 46 women) received laparoscopic adrenalectomy. The masses were 39 in the right and 33 in the left. Three patients had bilateral adrenal cortical hyperplasia. The patient was operated due to paraganglioma. The return to the open surgery occurred in 4 patients (5.26%). In 9 patients (11.8 percent), intraoperative and postoperative complications were observed. During and after the operation, complications were in the form of wave bleeding (2 cases), kidney upper polden bleeding (1 cases), kidney artery injury (1 cases), hepatic parankemia injury (2 cases), wave and pancreas ischemic (1 cases), thin intestinal injury (1 cases), insisial herni (1 cases).Complications were followed in proportions that were acceptable and compatible with other studies in literature. The result: Laparoscopic adrenalectomy can be safely applied in appropriate patients with low open surgery return rates and acceptable complication rates. (SETB-2019-12-148)

Anahtar Kelimeler:

0
2020
Yazar:  
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Bilgi: Bu yayına herhangi bir atıf yapılmamıştır.
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Şişli Etfal Hastanesi Tıp Bülteni

Alan :   Sağlık Bilimleri

Dergi Türü :   Ulusal

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Şişli Etfal Hastanesi Tıp Bülteni