Sub-mesocolic access in laparoscopic left adrenalectomy
- 5 May 2005
- journal article
- Published by Springer Science and Business Media LLC in Surgical Endoscopy
- Vol. 19 (7), 977-980
- https://doi.org/10.1007/s00464-004-2233-0
Abstract
This article reports an alternative laparoscopic access to left adrenal gland. From January 1994 to August 2004, 209 laparoscopic adrenalectomies were performed in our Department. Indications were Conn adenoma (55 cases), incidentaloma (64), Cushing adenoma (45), pheochromocytoma (32), adreno-genital syndrome (two), mielolipoma (two), and metastatic mass(nine). Of 209, in 12 cases the left adrenalectomy was performed through a submesocolic access (seven pheochromocytoma, two incidentaloma, two Cushing adenoma, one Conn adenoma,). The identification and closure of the adrenal vein with minimal gland manipulation resulted the main benefit of this approach. Moreover, the adrenalectomy was performed with minimal anatomical dissection. No mortality or major complications occurred. During the operation, the blood pressure and cardiac rhythm were significantly more stable, in the group of patients who underwent a left adrenalectomy by the submesocolic approach compared to the anterior or flank lateral transperitoneal group. Left adrenal lesions, as selected cases of pheochromocytoma, can be safely treated by laparoscopic submesocolic access.Keywords
This publication has 31 references indexed in Scilit:
- Laparoscopic adrenalectomy for phaeochromocytoma: with cautionAnz Journal of Surgery, 2004
- A critical analysis of intraoperative time utilization in laparoscopic adrenalectomySurgical Endoscopy, 2001
- Laparoscopic adrenalectomy for pheochromocytomaSurgical Endoscopy, 2001
- Anterior, lateral, and posterior retroperitoneal approaches in endoscopic adrenalectomySurgical Endoscopy, 2001
- THE CASE FOR LAPAROSCOPIC ADRENALECTOMYJournal of Urology, 2001
- Asymptomatic Adrenal Tumours: Criteria for Endoscopic RemovalThe European Journal of Surgery, 1999
- Posterior or Laparoscopic Approach for AdrenalectomyThe American Journal of Surgery, 1998
- Comparison of three techniques for adrenalectomyBritish Journal of Surgery, 1997
- Laparoscopic AdrenalectomyAnnals of Surgery, 1997
- Adrenalectomy in the era of laparoscopySurgery, 1996