scholarly journals Laparoscopic Adrenalectomy: The Transperitoneal Approach

2012 ◽  
Vol 1 (1) ◽  
pp. 26-33
Author(s):  
Julian C. Y. Ip ◽  
James C. Lee ◽  
Stanley B. Sidhu
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Transperitoneal Approach

Laparoscopic adrenalectomy by the anterior transperitoneal approach

2000 ◽  
Vol 14 (10) ◽  
pp. 920-925 ◽  
Author(s):  
E. Lezoche ◽  
M. Guerrieri ◽  
A. M. Paganini ◽  
F. Feliciotti ◽  
P. Zenobi ◽  
...  
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Transperitoneal Approach

scholarly journals Laparoscopic adrenalectomy by the lateral transperitoneal approach in patients with a history of previous abdominal surgery

2013 ◽  
Vol 2 ◽  
pp. 146-151 ◽  
Author(s):  
Michał Pędziwiatr ◽  
Maciej Matłok ◽  
Jan Kulawik ◽  
Piotr Major ◽  
Piotr Budzyński ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Laparoscopic Adrenalectomy ◽  
Transperitoneal Approach ◽  
Previous Abdominal Surgery ◽  
History Of

scholarly journals Comparison of lateral transperitoneal and retroperitoneal approaches for homolateral laparoscopic adrenalectomy

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhao Liu ◽  
Da-wei Li ◽  
Lei Yan ◽  
Zhong-Hua Xu ◽  
Gang-li Gu
Keyword(s):  
Blood Loss ◽  
Laparoscopic Adrenalectomy ◽  
Operative Time ◽  
Oral Intake ◽  
Patient Characteristics ◽  
Retroperitoneal Approach ◽  
Perioperative Outcomes ◽  
Transperitoneal Approach ◽  
Operative Data

Abstract Background There is a lack of data regarding the appropriateness of transperitoneal and retroperitoneal approaches for homolateral laparoscopic adrenalectomy. The aim of this study is to compare lateral transperitoneal and retroperitoneal approach for left-sided and right-sided laparoscopic adrenalectomy respectively. Methods Between January 2014 and December 2019, 242 patients underwent left-sided and 252 patients underwent right-sided laparoscopic adrenalectomy. For left side, transperitoneal approach was used in 132 (103 with tumors < 5 cm and 29 with tumors ≥ 5 cm) and retroperitoneal approach in 110 (102 with tumors < 5 cm and 8 with tumors ≥ 5 cm). For right side, transperitoneal approach was used in 139 (121 with tumors < 5 cm and 18 with tumors ≥ 5 cm) and retroperitoneal approach in 113 (102 with tumors < 5 cm and 11 with tumors ≥ 5 cm). Patient characteristics and perioperative outcomes were recorded. For each side, both approaches were compared for tumors < 5 cm and ≥ 5 cm respectively. Results For left-sided tumors < 5 cm, transperitoneal approach demonstrated shorter operative time, less blood loss and longer time to oral intake. For left-sided tumors ≥ 5 cm, the peri-operative data of both approaches was comparable. For right-sided tumors < 5 cm, transperitoneal approach demonstrated shorter operative time and less blood loss. For right-sided tumors ≥ 5 cm, the peri-operative data was comparable. Conclusions Lateral transperitoneal and retroperitoneal approach are both effective for laparoscopic adrenalectomy. Lateral transperitoneal approach is faster with less blood loss for tumors < 5 cm.

Suprasplenic, transperitoneal approach for laparoscopic adrenalectomy on the left side

2000 ◽  
Vol 385 (7) ◽  
pp. 467-469 ◽  
Author(s):  
András Vereczkei ◽  
Örs Péter Horváth ◽  
András Papp ◽  
János Nemes
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Transperitoneal Approach

Comparison of Retroperitoneoscopic and Transperitoneal Laparoscopic Adrenalectomy for Right-Sided Benign Tumors: A Single-Institute Experience

2015 ◽  
Vol 94 (2) ◽  
pp. 144-148 ◽  
Author(s):  
Po Hui Chiang ◽  
Cheng Jen Yu ◽  
Wei Ching Lee ◽  
Hung Jen Wang ◽  
Wu Chi Hsu
Keyword(s):  
Laparoscopic Adrenalectomy ◽  
Open Surgery ◽  
Operative Time ◽  
Oral Intake ◽  
Patient Characteristics ◽  
Benign Tumors ◽  
Transperitoneal Approach ◽  
Conversion To Open Surgery ◽  
Significant Difference ◽  
Length Of Hospitalization

Introduction: There is a lack of data regarding the appropriateness of transperitoneal and retroperitoneal approaches for right-sided laparoscopic adrenalectomy. The aim of this study was to determine whether there is any difference between right-sided transperitoneal laparoscopic adrenalectomy (TLA) and retroperitoneal laparoscopic adrenalectomy (RLA). Material and Methods: Our surgery database was reviewed to identify patients who underwent right-sided laparoscopic adrenalectomy with a retroperitoneal or transperitoneal approach since 2000. Fifty-five patients were enrolled (31 RLA and 24 TLA). Patient characteristics, as well as operative and perioperative details, were compared between the two groups. Results: There was no difference in patient characteristics between the groups. There was a statistically significant difference (p = 0.02) in blood loss (31.7 ± 16.4 vs. 56.9 ± 65.5 ml) between RLA and TLA when the patient's BMI was >26. There was no significant difference in operative time, conversion to open surgery, length of hospitalization, or time to oral intake between the groups. Conclusions: Right-sided laparoscopic adrenalectomy can be performed safely and effectively via either RLA or TLA. Surgeons can adopt either approach with confidence depending on their preference if they are familiar with that approach.

scholarly journals Retroperitoneal laparoscopic adrenalectomy: its role in the management of adrenal tumour and tertiary care centre experience

2020 ◽  
Vol 8 (3) ◽  
pp. 993
Author(s):  
Avinash Pratap Singh Thakur ◽  
G. Venugopal ◽  
Darsan S.
Keyword(s):  
Hospital Stay ◽  
Laparoscopic Adrenalectomy ◽  
Conversion Rate ◽  
Operative Time ◽  
Tertiary Care ◽  
Adrenal Tumour ◽  
Transperitoneal Approach ◽  
Tertiary Care Centre ◽  
Early Recovery ◽  
Excellent Outcome

Background: Laparoscopic adrenalectomy for adrenal tumour has gained increased popularity worldwide. To decrease the complications of commonly used transperitoneal approach, by not entering into peritoneal cavity the retroperitoneal laparoscopic adrenalectomy (RLA) has developed. It has several advantages over the transperitoneal approach and associated with reduced morbidity and excellent outcome. The objective of this study was to report our experience with RLA for treatment of adrenal tumour.Methods: The study was done from August 2014 and December 2017, data of 44 patients who underwent RLA for adrenal tumour in the institute were retrospectively reviewed. Patient’s demographical, clinical, diagnostic and procedural data were recorded. All patients were assessed by history, physical examinations, laboratory values with biochemical marker test and imaging by computed tomography/magnetic resonance imaging. Treatment outcome was assessed in terms of operative time, haemoglobin drop, conversion rate, hospital stay and complications.Results: In 44 adrenalectomy, 24 men and 20 women, with a mean age of 47.0±8.9 years were enrolled. Mean body mass index was 23.5±2.2 kg/m2. Right adrenal tumour was seen in 26 cases and left in 18 cases. Mean adrenal mass size was 2.6±0.85 cm. Mean operative time was 109.1±21.16 minutes, mean haemoglobin drop was 0.47±0.26 gram/L. Conversion to open surgery was necessary in 2 patients. Mean postoperative hospital stay was 4.0±0.91 days. Recovery time mean value was 12.18±1.7 days postoperatively. In final histopathology result adenoma was most prevalent (25 cases) and myelolipoma was least (1 case).  Conclusions: RLA appears to be safe and effective alternative to transperitoneal adrenalectomy for moderate size adrenal tumour in particular less than 6 cm. It is associated with less blood loss, shorter hospitalization, low conversion rate, fewer complications and early recovery. RLA offers an alternative method for treating adrenal tumour with improved surgical outcomes.

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