Retroperitoneoscopic Adrenalectomy for Adrenal Tumors via a Single Large Port
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- Daisaku Hirano
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Sadatsugu Minei
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Kenya Yamaguchi
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Tetsuo Yoshikawa
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Takahiko Hachiya
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Toshio Yoshida
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Hajime Ishida
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Yukie Takimoto
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Tadao Saitoh
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Shuji Kiyotaki
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
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- Kiyoki Okada
- Department of Urology, Nihon University School of Medicine, Tokyo, Japan.
書誌事項
- 公開日
- 2005-09
- 権利情報
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- http://www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/
- DOI
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- 10.1089/end.2005.19.788
- 公開者
- SAGE Publications
この論文をさがす
説明
Laparoscopic adrenalectomy is generally performed with carbon dioxide insufflation of the cavity and requires multiple trocars. This study reports the outcomes of retroperitoneoscopic adrenalectomy (RA) for adrenal tumors via a single port using a large cylinder without carbon dioxide insufflation.Fifty-four patients with adrenal tumors were treated using RA via a single large port. The average tumor size was 2.6 cm. For surgery, patients were placed in the lateral decubitus position with slight flexion, and a 4.5-cm skin incision was performed below the 12th rib in the midaxillary line. The retroperitoneal space was dissected using index fingers and a balloon dilator. A rectoscope tube with a 4-cm diameter was inserted, and the adrenal glands were removed endoscopically via the single large port without carbon dioxide insufflation.This procedure was completed in 53 patients (98.1%). The average duration of surgery was 203 minutes, and the mean estimated blood loss was 252 mL. Four patients (7.4%) required blood transfusion. Postoperative major complications, including fulminant hepatitis and pulmonary thrombosis, were observed in two patients (3.7%), and the patient with hepatic disease died on the 14th postoperative day. The mortality rate after surgery thus was 1.9%. However, no local tumor recurrence or hormonal relapse has occurred at a median follow-up of 34 months.This procedure appears to be effective and relatively minimally invasive. However, it is limited by the narrow working space and restriction of the manipulation of instruments.
収録刊行物
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- Journal of Endourology
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Journal of Endourology 19 (7), 788-792, 2005-09
SAGE Publications