caa a22 4500 475780337 CHVBK 20180406123642.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s004640000204 doi (NATIONALLICENCE)springer-10.1007/s004640000204 Laparoscopic adrenalectomy by the anterior transperitoneal approach [Elektronische Daten] Results of 108 operations in unselected cases [E. Lezoche, M. Guerrieri, A. Paganini, F. Feliciotti, P. Zenobi, F. Antognini, F. Mantero] Background: The feasibility, safety, and results of 108 laparoscopic anterior transperitoneal adrenalectomies (six bilateral) were evaluated in a series of 105 patients. Three patients with a preoperative diagnosis of primary adrenal carcinoma were excluded from the study. Methods: A total of 102 patients were included in the study based on exhaustive endocrinological and imaging assessment. Twenty-nine patients with nonsecreting adenoma, 34 with aldosterone-producing adenoma, 27 with cortisol-producing adenoma (five bilateral), 13 with pheochromocytoma (one bilateral), two with androgen-secreting adenoma, and three with metastases were considered eligible for adrenalectomy. Lesion size ranged from 3.5 to 12 cm. Concurrent surgical procedures were performed in 10 patients (9.8%). Results: One (0.9%) intraoperative complication, a colon tear in a bilateral adrenalectomy, required conversion. there were two (1.9%) postoperative complications: one patient with thrombocytopenia developed hemoperitoneum and required a second laparoscopic procedure, and an intraabdominal abscess was treated medically. Mean postoperative hospital stay was 2.5 days (range, 1-7 days). Postoperative mortality was 0.9%; the patient with the colon tear died of sepsis 60 days after the operation. At a mean follow-up of 30 months (range, 1-62), normalization or improvement in hormone levels was observed in all patients with secreting adenomas, and significant improvement or cure was achieved in all patients with hypertension. Conclusion: Patients with secreting and nonsecreting adrenal lesions can be treated safety and effectively by laparoscopy with the anterior transperitoneal approach. Springer-Verlag, 2000 Adrenalectomy nationallicence Adrenal surgery nationallicence Laparoscopy nationallicence Endocrine disorders nationallicence Lezoche E. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut Guerrieri M. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut Paganini A. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut Feliciotti F. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut Zenobi P. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut Antognini F. Servizio di Anestesia e Rianimazione, Ospedale Umberto I, Ancona, Italy aut Mantero F. Clinica di Endocrinologia, University of Ancona, Ancona, Italy aut Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 920-925 0930-2794 14:10<920 2000 14 464 https://doi.org/10.1007/s004640000204 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000204 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lezoche E. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut NATIONALLICENCE 700 1- Guerrieri M. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut NATIONALLICENCE 700 1- Paganini A. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut NATIONALLICENCE 700 1- Feliciotti F. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut NATIONALLICENCE 700 1- Zenobi P. Istituto di Scienze Chirurgiche, University of Ancona, Ancona, Italy aut NATIONALLICENCE 700 1- Antognini F. Servizio di Anestesia e Rianimazione, Ospedale Umberto I, Ancona, Italy aut NATIONALLICENCE 700 1- Mantero F. Clinica di Endocrinologia, University of Ancona, Ancona, Italy aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 920-925 0930-2794 14:10<920 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer