Abstract
Posterior retroperitoneoscopic adrenalectomy (PRA) has recently increased in popularity and is currently adopted in about 20 % of referral centers. This approach allows direct access to the adrenals with minimal dissection of the surrounding structures, which has been suggested to shorten operative time. Moreover, the retroperitoneal route allows endoscopic adrenalectomy to be performed easily and safely in cases where there are major abdominal adhesions related to previous procedures. The main disadvantage of this technique is the small working space, which limits the size of the lesions suitable for this approach. Moreover the posterior approach appears a very attractive procedure for patients requiring bilateral adrenalectomy, since it eliminates the need of repositioning the patient. The prone position exposes both the adrenal regions at the same time. Benign lesions ranging in size up to 6 cm represent the ideal indication for this approach—this group include the majority of tumors of the adrenal gland, both functioning and non functioning.
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Bellantone, R., Raffaelli, M., De Crea, C., Oragano, L., Lombardi, C.P. (2013). Posterior Retroperitoneoscopic Adrenalectomy. In: Valeri, A., Bergamini, C., Bellantone, R., Lombardi, C. (eds) Surgery of the Adrenal Gland. Springer, Milano. https://doi.org/10.1007/978-88-470-2586-8_11
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DOI: https://doi.org/10.1007/978-88-470-2586-8_11
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