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Minimal-invasive Techniken der Nebennierenchirurgie

Minimally invasive techniques in adrenal gland surgery

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Zusammenfassung

In der 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 nach wie vor heterogen. Immerhin scheint der retroperitoneale Zugang eine geringere postoperative Schmerzbelastung und schnellere Rekonvaleszenz zu ermöglichen. Robotische Verfahren erfreuen sich zunehmender Beliebtheit, ihre finale Bedeutung kann heute noch nicht festgelegt werden. Alle minimal-invasiven Verfahren gelten als so sicher und zuverlässig, dass die offenen Methoden nur noch ausnahmsweise berechtigt sind.

Abstract

Today, adrenalectomy can be performed by a variety of laparoscopic and retroperitoneoscopic approaches. Of particular importance are the lateral transperitoneal and the posterior retroperitoneoscopic access routes. Comparative studies of transperitoneal and retroperitoneal procedures still demonstrate heterogeneous results. Nevertheless, retroperitoneal access techniques seem to enable less postoperative pain and a faster recovery. Robotic procedures are gaining in popularity but the final importance cannot yet be determined. All minimally invasive techniques are considered to be so safe and reliable that open approaches are only justified in exceptional cases.

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Authors and Affiliations

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

    Martin K. Walz

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  1. Martin K. Walz
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Correspondence to Martin K. Walz.

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M.K. Walz gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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M. Anthuber, Augsburg

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Walz, M.K. Minimal-invasive Techniken der Nebennierenchirurgie. Chirurgie 93, 850–855 (2022). https://doi.org/10.1007/s00104-022-01682-z

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