Laparoscopic adrenalectomy: technical aspects

Chowbey, P.K.; Vashishtha, A.; Khullar, R.; Sharma, R.; Soni, V.; Baijal, M.; Dhir, A. and Dewan, A. (2002) Laparoscopic adrenalectomy: technical aspects. In: 5th Annual Conference of Indian Association of Gastrointestinal Endo-surgeons (IAGES), 31st Jan - 3rd Feb 2002, Kolkatta, India.

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Laparoscopic adrenalectomy is indicated for patients with adrenal masses, pheochromocytoma and cushings syndrome. It can be performed either by a retroperitoneal approach or a transperitoneal approach. Retroperitoneal approach is the procedure of choice as in open surgery but a transperitoneal approach may be required for large adrenal masses. Majority of these patients undergoing adrenalectomy are severely moribund and immunocompromised. Large open incisions thus add on to their morbidity and suffering. The majority of adrenal gland tumors are amenable to laparoscopic excision because most adrenal neoplasms are small and pathologically benign. We review the basic principles and technical aspects of a transperitoneal laparoscopic approach to adrenelectomy i.e. right and left adrenal gland. Laparoscopic adrenalectomy has now because the procedure of choice for adrenal masses in all the advanced laparoscopic centres having all the advantages of minimal access surgery including decreased pain, a shorter duration of postoperative ileus, earlier hospital discharge, and a more rapid recovery.

EPrint Type:Conference or Workshop Item (Paper)
Uncontrolled Keywords:Laparoscopic Adrenalectomy, Adrenal masses, Pheochromocytoma Cushings Syndrome, Laparoscopy, Transperitoneal Laparoscopy
Subjects:Endocrine Diseases > Endocrine Gland Neoplasms > Adrenal Gland Neoplasms
Surgical Procedures, Operative > Endocrine Surgical Procedures
-Institutional Repositories > Sir Ganga Ram Hospital, New Delhi
Surgical Procedures, Operative > Surgical Procedures, Minimally Invasive > Endoscopy > Laparoscopy
Surgical Procedures, Operative > Surgical Procedures, Minor
Endocrine Diseases > Adrenal Gland Diseases
Neoplasms > Neoplasms by Histologic Type > Neoplasms, Germ Cell and Embryonal
Endocrine Diseases > Adrenal Gland Diseases > Adrenal Gland Neoplasms
Neoplasms > Neoplasms by Histologic Type > Neoplasms, Nerve Tissue
ID Code:2421
Deposited By:Sir Ganga Ram Hospital
Deposited On:24 October 2007

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