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Results of endoscopic retroperitoneal adrenalectomy

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Abstract

Background: From March 1994 to August 1995 we performed extraperitoneal endoscopic adrenalectomy in 18 patients with adrenal gland tumors.

Methods: Two of these patients underwent bilateral adrenalectomy. For the extraperitoneal approach a pneumoret-roperitoneum was established and three 10-mm trocars were inserted in the area of the conventional flank incision. Adrenalectomy was performed via these ports. Endoscopic retroperitoneal adrenalectomy was successful in 15 patients; three patients required a conventional operation via an extraperitoneal lumbar approach because of inadequate exposure of the adrenal gland. In patients with endoscopic retroperitoneal adrenalectomy median operative time amounted to 180 min (95–330).

Results: No postoperative complications were observed; median postoperative hospital stay was 5 days (3–12).

Conclusions: The described approach produces rapid recovery and creates less postoperative pain.

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Authors and Affiliations

  1. Clinic of General and Abdominal Surgery, Johannes Gutenberg-University, Langenbeckstrasse 1, D-55131, Mainz, Germany

    A. Heintz, S. Walgenbach & T. Junginger

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  1. A. Heintz
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  2. S. Walgenbach
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  3. T. Junginger
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Heintz, A., Walgenbach, S. & Junginger, T. Results of endoscopic retroperitoneal adrenalectomy. Surg Endosc 10, 633–635 (1996). https://doi.org/10.1007/BF00188516

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  • DOI: https://doi.org/10.1007/BF00188516

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