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Difficulties in Laparoscopic Adrenalectomy

  • Mahesh R. Desai
  • Arvind P. Ganpule
Chapter

Abstract

Laparoscopic adrenalectomy is the method of choice in the majority of adrenal lesions. The open surgical approach for adrenal lesions requires a long skin incision, which at times may require muscle and rib cutting. The laparoscopic approach is quick and safe, the magnification offers excellent visibility, and blood loss is substantially decreased if the surgical technique is meticulous. Adrenalectomy is also one of the few laparoscopic procedures in which, due to the quick access to the area in question, has a shorter operative time. Although there is general agreement on use of this approach for benign and small lesions, the issue of the laparoscopic approach in adrenocortical carcinomas remains unresolved. This chapter discusses operative technique and troubleshooting measures.

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of UrologyMuljibhai Patel Urological HospitalNadladIndia
  2. 2.Division of Laparoscopic Surgery, Department of UrologyMuljibhai Patel Urological HospitalNadladIndia

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