Initial Experience of Single Port Transperitoneal Laparoscopic Adrenalectomy / 대한내분비외과학회지
Korean Journal of Endocrine Surgery
; : 283-286, 2011.
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.Palavras-chave
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