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Initial Experience of Single Port Transperitoneal Laparoscopic Adrenalectomy / 대한내분비외과학회지
Article em Ko | WPRIM | ID: wpr-8164
Biblioteca responsável: WPRO
ABSTRACT

PURPOSE:

Single port laparoscopic surgery is an area of active investigation in abdominal surgery. A standard procedure for single port laparoscopic adrenal surgery has not been established. We retrospectively investigated intraoperative and postoperative outcomes following laparoscopic adrenalectomy via mono-port (LAMP).

METHODS:

Between March 2009 and December 2009, 10 patients underwent LAMP at Kangbuk Samsung Hospital. The same surgeon performed all surgeries. The first 5 cases underwent LAMP using an Alexis Wound Retractor (Applied Medical, Rancho Santa Margarita, CA, USA) with surgical gloves, and others were done with an OCTO Port (Dalim Surgnet, Korea).

RESULTS:

Of the 10 patients, 5 were male and 5 were female. The mean age was 43.7±9.9 years (range, 34~62), and the mean BMI was 24.1±4.0 kg/m² (Range, 17.1 ~30.0). The mean tumor size was 32.5±16.9 mm (range, 12~60),mean operative time was 127.0±29.5 min (range, 90~180), and mean hospital stay was 4.5 days (range, 3~7). Three patients were diagnosed with non-functioning cortical adenoma, 3 with Cushing's syndrome, 2 patients with pheochromocytoma, and others with primarily hyperaldosteronism and myelolipoma. Major postoperative morbidity, blood transfusions, or conversion to open surgery did not occur.

CONCLUSION:

The outcome of LAMP demonstrates the safety and feasibility of this procedure. With increasing surgeon experience and refinement in instrument technology, we believe LAMP is likely to become a standard approach to adrenal disease.
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Texto completo: 1 Base de dados: WPRIM Assunto principal: Feocromocitoma / Ferimentos e Lesões / Transfusão de Sangue / Adenoma / Estudos Retrospectivos / Laparoscopia / Mielolipoma / Adrenalectomia / Síndrome de Cushing / Duração da Cirurgia Tipo de estudo: Observational_studies Limite: Female / Humans / Male Idioma: Ko Revista: Korean Journal of Endocrine Surgery Ano de publicação: 2011 Tipo de documento: Article País de publicação: COREA DEL SUR / COREIA DO SUL / KR / SOUTH KOREA
Texto completo: 1 Base de dados: WPRIM Assunto principal: Feocromocitoma / Ferimentos e Lesões / Transfusão de Sangue / Adenoma / Estudos Retrospectivos / Laparoscopia / Mielolipoma / Adrenalectomia / Síndrome de Cushing / Duração da Cirurgia Tipo de estudo: Observational_studies Limite: Female / Humans / Male Idioma: Ko Revista: Korean Journal of Endocrine Surgery Ano de publicação: 2011 Tipo de documento: Article País de publicação: COREA DEL SUR / COREIA DO SUL / KR / SOUTH KOREA