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Minimal-invasive Nebennierenchirurgie

Transperitonealer oder retroperitonealer Zugang?

Minimally invasive adrenal gland surgery

Transperitoneal or retroperitoneal approach?

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Zusammenfassung

Zur Nebennierenchirurgie stehen heute laparoskopische und retroperitoneoskopische Operationsverfahren in zahlreichen Varianten zur Verfügung. Besondere Bedeutung haben inzwischen der laterale transperitoneal Zugang und der posteriore retroperitoneoskopische Zugang gewonnen. Die Ergebnisse vergleichender Studien zwischen transperitonealen und retroperitonealen Verfahren sind heterogen. Immerhin scheint der retroperitoneale Zugang eine geringere postoperative Schmerzbelastung und schnellere Rekonvaleszenz zu ermöglichen. Alle minimal-invasiven Verfahren gelten als so sicher und zuverlässig, dass die offenen Methoden kaum noch berechtigt sind.

Abstract

Currently adrenal gland surgery can be performed by a variety of laparoscopic and retroperitoneoscopic approaches. Of particular importance are the lateral laparoscopic and posterior retroperitoneoscopic approaches. Comparative studies of transperitoneal and retroperitoneal adrenalectomy demonstrate heterogeneous results. Nevertheless, retroperitoneal techniques may offer less postoperative pain and faster recovery. All these minimally invasive techniques are safe and reliable and have replaced open approaches in most cases.

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  1. Klinik für Chirurgie und Zentrum Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Henricistr. 92, 45136, Essen, Deutschland

    M.K. Walz

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Correspondence to M.K. Walz.

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Walz, M. Minimal-invasive Nebennierenchirurgie. Chirurg 83, 536–545 (2012). https://doi.org/10.1007/s00104-011-2194-5

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