2023年6月13日 · However, a 2022 systematic review and meta-analysis comparing the two found laparoscopic right adrenalectomy to be associated with a greater bleeding risk and a higher conversion rate.

2023年6月13日 · Four laparoscopic ports placed in the right subcostal region are typically required for the transabdominal lateral flank approach to laparoscopic right adrenalectomy. Port positioning and size vary and are surgeon-dependent.

2023年6月20日 · A systematic review and meta-analysis by Wang et al (five studies; N = 780) compared the outcomes of laparoscopic right (n = 361) and left (n = 419) adrenalectomy. Laparoscopic left adrenalectomy was found to be associated with a lower risk of bleeding and a lower conversion rate.

2023年6月13日 · A standard laparoscopic tray, including laparoscopic graspers and scissors, is used for a laparoscopic right adrenalectomy. A laparoscopic right-angle dissector, laparoscopic Kittner, and hook electrocautery are often helpful in the dissection of the inferior vena cava (IVC) and the adrenal vein.

The initial step in resection of the adrenal gland is to identify and ligate the adrenal vein. This can reliably be achieved via identification of the renal vein. An incision into the Gerota fascia over the upper pole of the kidney allows medial dissection towards the renal vein.

2023年2月15日 · Background Although laparoscopic surgery has become the treatment of choice for the majority of incidentally detected adrenal masses, open adrenalectomy still plays an important role in the armamentarium of adrenal surgeons.

2023年2月15日 · Although laparoscopic surgery has become the treatment of choice for the majority of incidentally detected adrenal masses, and robotic approaches have been developed that appear to yield comparable results, open adrenalectomy still plays an important role in the armamentarium of adrenal surgeons.

2024年11月21日 · Even if the adrenal gland appeared abnormal on staging workup, only 24-50% of patients actually had an adrenal metastasis. Based on these data, the current practice is to perform an adrenalectomy in patients undergoing LRN for T2 or larger renal masses or upper-pole tumors of any size.

At many laparoscopic centers, the laparoscopic adrenalectomy has become the criterion standard. The American Association of Endocrine Surgeons recommends laparoscopic adrenalectomy for patients with primary aldosteronism or autonomous cortisol secretion who have unilateral disease.

Background Laparoscopic left adrenalectomy is a procedure in which the adrenal gland is surgically removed. Adrenalectomy has undergone a significant transformation since the first report of a laparoscopic adrenalectomy was published in 1992.