BACKGROUND: The choice in between the laparoscopic lateral transabdominal (LTA) or the posterior retroperitoneoscopic (PRA) approach for adrenalectomy is usually based on surgeon's preference, rather than on objective arguments. We compared the intraoperative and postoperative outcomes of LTA and PRA to determine whether there is a preferable approach. METHODS: Thirty-eight consecutive patients successfully underwent PRA for benign adrenal tumors </=6 cm. A case-control study including 38 patients who successfully underwent LTA was performed. Operative time, intraoperative ventilatory parameters (CO(2) production [Vco(2)], whole body oxygen consumption, arterial partial pressure of carbon dioxide [Paco(2)], and arterial partial pressure of oxygen [Pao(2)]), final histology, complications, postoperative stay, analgesic requirement, time to regain normal bowel function, and time to return to work were recorded and compared between the 2 groups. RESULTS: The 2 groups did not differ in terms of operative time, analgesic requirement, time to first flatus, complication rate, duration of postoperative stay, or final histology. Patients in the LTA group showed significantly lower Paco(2), Pao(2), and Vco(2) at the end of the operation. Patients in the PRA group experienced a significantly faster return to work. CONCLUSION: No procedure can be considered preferable overall. In cases of bilateral adrenalectomy and previous abdominal surgery, PRA may offer some advantages. Surgeon's preference and experience will continue to guide this choice.

Lombardi, C. P., Raffaelli, M., De Crea, C., Sollazzi, L., Perilli, V., Cazzato, M. T., Bellantone, R. D. A., Endoscopic adrenalectomy: Is there an optimal operative approach? Results of a single-center case-control study, <<SURGERY>>, 2008; 144 (6): 1008-1008-14; discussion 1014-5. [doi:10.1016/j.surg.2008.08.025] [http://hdl.handle.net/10807/29131]

Endoscopic adrenalectomy: Is there an optimal operative approach? Results of a single-center case-control study

Lombardi, Celestino Pio;Raffaelli, Marco;De Crea, Carmela;Sollazzi, Liliana;Perilli, Valter;Cazzato, Maria Teresa;Bellantone, Rocco Domenico Alfonso
2008

Abstract

BACKGROUND: The choice in between the laparoscopic lateral transabdominal (LTA) or the posterior retroperitoneoscopic (PRA) approach for adrenalectomy is usually based on surgeon's preference, rather than on objective arguments. We compared the intraoperative and postoperative outcomes of LTA and PRA to determine whether there is a preferable approach. METHODS: Thirty-eight consecutive patients successfully underwent PRA for benign adrenal tumors
2008
Inglese
Lombardi, C. P., Raffaelli, M., De Crea, C., Sollazzi, L., Perilli, V., Cazzato, M. T., Bellantone, R. D. A., Endoscopic adrenalectomy: Is there an optimal operative approach? Results of a single-center case-control study, <<SURGERY>>, 2008; 144 (6): 1008-1008-14; discussion 1014-5. [doi:10.1016/j.surg.2008.08.025] [http://hdl.handle.net/10807/29131]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/29131
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