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Retroperitoneoscopic adrenalectomy: tips and tricks

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Abstract

Posterior retroperitoneoscopic adrenalectomy has recently increased in popularity and currently adopted in about 20% of referral centers. It may provide more direct access to the adrenals, thus avoiding post-operative adhesions and the need for patient repositioning in bilateral adrenalectomy. Although it has been suggested to be feasible for large tumors, large tumor size is indicated as the main limitation of PRA, mainly because of the small space available for dissection.

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References

  1. Walz MK, Alesina PF, Wenger FA et al (2006) Posterior retroperitoneoscopic adrenalectomy—results of 560 procedures in 520 patients. Surgery 140:943–950

    Article  PubMed  Google Scholar 

  2. Lombardi CP, Raffaelli M, De Crea C et al (2008) Endoscopic adrenalectomy: is there an optimal operative approach? Results of a single-center case-control study. Surgery 144:1008–1014 (discussion 1014–1015)

    Article  PubMed  Google Scholar 

  3. Barczyński M, Konturek A, Gołkowski F et al (2007) Posterior retroperitoneoscopic adrenalectomy: a comparison between the initial experience in the invention phase and introductory phase of the new surgical technique. World J Surg 31(1):65–71

    Article  PubMed  Google Scholar 

  4. Perrier ND, Kennamer DL, Bao R et al (2008) Posterior retroperitoneoscopic adrenalectomy. Preferred technique for removal of benign tumors and isolated metastases. Ann Surg 248:666–674

    PubMed  Google Scholar 

  5. Lombardi CP, Raffaelli M, De Crea C et al (2011) ACTH-dependent Cushing’s syndrome: the potential benefits of simultaneous bilateral posterior retroperitoneoscopic adrenalectomy. Surgery 149(2):299–300

    Article  PubMed  Google Scholar 

  6. Raffaelli M, Brunaud L, De Crea C et al (2014) Synchronous bilateral adrenalectomy for Cushing’s syndrome: laparoscopic versus posterior retroperitoneoscopic versus robotic approach. World J Surg 38(3):709–715

    Article  PubMed  Google Scholar 

  7. Walz MK, Petersen S, Koch JA et al (2005) Endoscopic treatment of large primary adrenal tumours. Br J Surg 92:719–723

    Article  CAS  PubMed  Google Scholar 

  8. Lombardi CP, Raffaelli M, De Crea C et al (2006) Role of laparoscopy in the management of adrenal malignancies. J Surg Oncol 94:128–131

    Article  PubMed  Google Scholar 

  9. Gumbs AA, Gagner M (2006) Laparoscopic adrenalectomy. Best Pract Res Clin Endocrinol Metab 20:483–499

    Article  PubMed  Google Scholar 

  10. Constantinides VA, Christakis I, Touska P, Palazzo FF (2012) Systematic review and meta-analysis of retroperitoneoscopic versus laparoscopic adrenalectomy. Br J Surg 99(12):1639–1648

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

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Contributions

Study conception and design: CPL, MR, RB. Acquisition of the data: CC, GD, PP, PG. Analysis and interpretation of data: CPL, MR, CC, GD, PP, PG. Drafting of manuscript: CPL, MR, CC, GD, PP, PG. Critical revision of manuscript: RB, CPL, MR.

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Correspondence to Marco Raffaelli.

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The authors declare that they have no competing interests.

Research involving human participants and/or animals

The present manuscript is in compliant with ethical standard. This study does not involve any kind of animal related contacts or experiments by any of the listed authors.

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All the patients included gave their informed consent.

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De Crea, C., Raffaelli, M., D’Amato, G. et al. Retroperitoneoscopic adrenalectomy: tips and tricks. Updates Surg 69, 267–270 (2017). https://doi.org/10.1007/s13304-017-0469-1

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  • DOI: https://doi.org/10.1007/s13304-017-0469-1

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