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Final Outcomes

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Posterior Retroperitoneoscopic Adrenalectomy

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Abstract

Posterior retroperitoneoscopic adrenalectomy (PRA) is a safe, effective, and feasible technique with several advantages over the laparoscopic approach. Due to the direct access to the gland without incursion into the peritoneal cavity, PRA is fast and easy to perform and eliminates the risk of incidental injury to the abdominal viscera. Operative time for PRA is identical to laparoscopic cholecystectomy and endoscopic hernia repair. Mean operative time decreases with experience and stabilizes below 60 min after less than 20 procedures. Complications are rare, minor, and temporary. Blood loss is neglectable and mortality is 0%. Postoperative pain is minimal, and, in suitable patients, PRA can be performed as ambulatory surgery. A shorter learning curve is possible if the surgeon already has laparoscopic skills and experience in other surgical procedures. PRA should become the new gold standard for adrenal surgery.

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References

  1. Higashihara E, Tanaka Y, Horie S, Aruga S, Nutahara K, Homma Y, et al. A case report of laparoscopic adrenalectomy. Nihon Hinyokika Gakkai Zasshi. 1992;83(7):1130–3.

    CAS  Google Scholar 

  2. Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med. 1992;327(14):1033.

    Article  CAS  Google Scholar 

  3. Alesina PF. Retroperitoneal adrenalectomy-learning curve, practical tips and tricks, what limits its wider uptake. Gland Surg. 2019;8(Suppl 1):S36–40.

    Article  Google Scholar 

  4. Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, et al. Posterior retroperitoneoscopic adrenalectomy-results of 560 procedures in 520 patients. Surgery. 2006;140(6):943–8.

    Article  Google Scholar 

  5. Costa Almeida CE, Caroço T, Silva MA, Albano MN, Louro JM, Carvalho LF, et al. Posterior retroperitoneoscopic adrenalectomy—Case series. Int J Surg Case Rep. 2018;51:174–7.

    Article  Google Scholar 

  6. Lee CR, Walz MK, Park S, Park JH, Jeong JS, Lee SH, et al. A comparative study of the transperitoneal and posterior retroperitoneal approaches for laparoscopic adrenalectomy for adrenal tumors. Ann Surg Oncol. 2012;19(8):2629–34.

    Article  Google Scholar 

  7. Uchida M, Imaide Y, Yoneda K, Uehara H, Ukimura O, Itoh Y, et al. Endoscopic adrenalectomy by retroperitoneal approach for primary aldosteronism. Hinyokika Kiyo. 1994;40(1):43–6.

    CAS  Google Scholar 

  8. Johansson K, Anderberg B, Asberg B, Endoscopic retroperitoneal adrenalectomy. A technique useful for surgery of minor tumors. Lakartidningen. 1994;91(37):3278–81.

    CAS  Google Scholar 

  9. Whittle DE, Schroeder D, Purchas SH, Sivakumaran P, Conaglen JV. Laparoscopic retroperitoneal left adrenalectomy in a patient with Cushing’s syndrome. Aust N Z J Surg. 1994;64(5):375–6.

    Article  CAS  Google Scholar 

  10. Walz MK, Peitgen K, Walz MV, Hoermann R, Saller B, Giebler RM, et al. Posterior retroperitoneoscopic adrenalectomy: lessons learned within five years. World J Surg. 2001;25(6):728–34.

    Article  CAS  Google Scholar 

  11. Serra C, Pereira Canudo A, Silvestre dos Santos A. Adrenalectomia posterior retroperitoneoscópica – introdução da técnica num hospital generalista. Revista Portuguesa de Endocrinologia, Diabetes e Metabolismo. 2016;11(2):253–7.

    Article  Google Scholar 

  12. Cabalag MS, Mann GB, Gorelik A, Miller JA. Posterior retroperitoneoscopic adrenalectomy: outcomes and lessons learned from initial 50 cases. ANZ J Surg. 2015;85(6):478–82.

    Article  Google Scholar 

  13. Li R, Miller JA. Evaluating the learning curve for posterior retroperitoneoscopic adrenalectomy. Ann Laparosc Endosc Surg. 2017;2:169.

    Article  Google Scholar 

  14. Gimm O, Duh QY. Challenges of training in adrenal surgery. Gland Surg. 2019;8(Suppl 1):S3–9.

    Article  Google Scholar 

  15. Costa Almeida CE, Caroço T, Silva MA, Baião JM, Costa A, Albano MN, et al. An update of posterior retroperitoneoscopic adrenalectomy—case series. Int J Surg Case Rep. 2020;71:120–5.

    Article  Google Scholar 

  16. Perrier ND, Kennamer DL, Bao R, Jimenez C, Grubbs EG, Lee JE, et al. Posterior retroperitoneoscopic adrenalectomy: preferred technique for removal of benign tumors and isolated metastases. Ann Surg. 2008;248(4):666–74.

    Article  Google Scholar 

  17. Kiriakopoulos A, Petralias A, Linos D. Posterior retroperitoneoscopic versus laparoscopic adrenalectomy in sporadic and MENIIA pheochromocytomas. Surg Endosc. 2015;29(8):2164–70.

    Article  Google Scholar 

  18. Porpiglia F, Fiori C, Bertolo R, Cattaneo G, Amparore D, Morra I, et al. Mini-retroperitoneoscopic adrenalectomy: our experience after 50 procedures. Urology. 2014;84(3):596–601.

    Article  Google Scholar 

  19. Barczyński M, Konturek A, Nowak W. Randomized clinical trial of posterior retroperitoneoscopic adrenalectomy versus lateral transperitoneal laparoscopic adrenalectomy with a 5-year follow-up. Ann Surg. 2014;260(5):740–7.

    Article  Google Scholar 

  20. Dickson PV, Jimenez C, Chisholm GB, Kennamer DL, Ng C, Grubbs EG, et al. Posterior retroperitoneoscopic adrenalectomy: a contemporary American experience. J Am Coll Surg. 2011;212(4):659–65.

    Article  Google Scholar 

  21. van Uitert A, d’Ancona FCH, Deinum J, Timmers HJLM, Langenhuijsen JF. Evaluating the learning curve for retroperitoneoscopic adrenalectomy in a high-volume center for laparoscopic adrenal surgery. Surg Endosc. 2017;31(7):2771–5.

    Article  Google Scholar 

  22. Kumar M, Kumar R, Hemal AK, Gupta NP. Complications of retroperitoneoscopic surgery at one centre. BJU Int. 2001;87(7):607–12.

    Article  CAS  Google Scholar 

  23. Bakkar S, Materazzi G, Fregoli L, Papini P, Miccoli P. Posterior retroperitonoscopic adrenalectomy; a back door access with an unusually rapid learning curve. Updat Surg. 2017;69(2):235–9.

    Article  Google Scholar 

  24. Kozłowski T, Choromanska B, Wojskowicz P, Astapczyk K, Łukaszewicz J, Rutkowski D, et al. Laparoscopic adrenalectomy: lateral transperitoneal versus posterior retroperitoneal approach—prospective randomized trial. Wideochir Inne Tech Maloinwazyjne. 2019;14(2):160–9.

    Google Scholar 

  25. Walz MK. Minimally invasive adrenal gland surgery: transperitoneal or retroperitoneal approach? Chirurg. 2012;83(6):536–45.

    Article  CAS  Google Scholar 

  26. Meng C, Du C, Peng L, Li J, Li J, Li Y, et al. Comparison of posterior retroperitoneoscopic adrenalectomy versus lateral transperitoneal laparoscopic adrenalectomy for adrenal Tumors: a systematic review and meta-analysis. Front Oncol. 2021;11:667985.

    Article  Google Scholar 

  27. Chai YJ, Kwon H, Yu HW, Kim SJ, Choi JY, Lee KE, et al. Systematic review of surgical approaches for adrenal tumors: lateral transperitoneal versus posterior retroperitoneal and laparoscopic versus robotic adrenalectomy. Int J Endocrinol. 2014;2014:918346.

    Article  Google Scholar 

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

    Article  Google Scholar 

  29. Mihai R, Donatini G, Vidal O, Brunaud L. Volume-outcome correlation in adrenal surgery—an ESES consensus statement. Langenbeck's Arch Surg. 2019;404(7):795–806.

    Article  Google Scholar 

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Authors and Affiliations

  1. General Surgery, Portuguese Oncology Institute of Coimbra, Hospital CUF Coimbra, Coimbra, Portugal

    Carlos Eduardo Costa Almeida

  2. General Surgery Department, Portuguese Oncology Institute of Coimbra, Coimbra, Portugal

    Teresa Vieira Caroço

Authors
  1. Carlos Eduardo Costa Almeida
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  2. Teresa Vieira Caroço
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Correspondence to Carlos Eduardo Costa Almeida .

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Editors and Affiliations

  1. General Surgery Portuguese Oncology Institute of Coimbra, Hospital CUF Coimbra, Coimbra, Portugal

    Carlos Eduardo Costa Almeida

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Costa Almeida, C.E., Caroço, T.V. (2023). Final Outcomes. In: Eduardo Costa Almeida, C. (eds) Posterior Retroperitoneoscopic Adrenalectomy. Springer, Cham. https://doi.org/10.1007/978-3-031-19995-0_11

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  • DOI: https://doi.org/10.1007/978-3-031-19995-0_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-19994-3

  • Online ISBN: 978-3-031-19995-0

  • eBook Packages: MedicineMedicine (R0)

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