caa a22 4500 475790731 CHVBK 20180406123710.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004230000164 doi (NATIONALLICENCE)springer-10.1007/s004230000164 Suprasplenic, transperitoneal approach for laparoscopic adrenalectomy on the left side [Elektronische Daten] [András Vereczkei, Örs Péter Horváth, András Papp, János Nemes] Abstract.: Background: There are several minimally invasive means of exposing the adrenal glands. Each of them has its own advantages and disadvantages. A new approach was introduced for laparoscopic adrenalectomy on the left side. Patients and methods: Between June 1997 and January 2000, 23 transperitoneal unilateral laparoscopic adrenalectomies on the left side were performed. In 4 of these cases, only enucleation of a well-circumscribed adenoma was done. In a semilateral position, the gland was approached through the splenophrenic ligament with partial mobilization of the spleen. The left adrenal gland was quickly and safely exposed, thus avoiding the complications of transmesocolic exposure. There was no need for extensive mobilization of the spleen or the pancreas. Results: In 20 cases the laparoscopic operation was successfully performed. In 3 cases conversion was necessary because of bleeding. The estimated blood loss was on average 150ml. The mean operation time was 84 min, the mean postoperative stay 4.5 days. No other major complications were observed. Conclusion: This new method is a safe and quick technique for left-sided laparoscopic adrenalectomy, and it can be an alternative to the existing ones. Springer-Verlag, 2000 Laparoscopic adrenalectomy New technique Left side nationallicence Vereczkei András Ifjuság u. 13. Pécs, 7624, Hungary aut Horváth Örs Péter Department of Surgery and 1st Department of Internal Medicine, Faculty of Medicine, University of Pécs, Hungary aut Papp András Department of Surgery and 1st Department of Internal Medicine, Faculty of Medicine, University of Pécs, Hungary aut Nemes János Department of Surgery and 1st Department of Internal Medicine, Faculty of Medicine, University of Pécs, Hungary aut https://doi.org/10.1007/s004230000164 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004230000164 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vereczkei András Ifjuság u. 13. Pécs, 7624, Hungary aut NATIONALLICENCE 700 1- Horváth Örs Péter Department of Surgery and 1st Department of Internal Medicine, Faculty of Medicine, University of Pécs, Hungary aut NATIONALLICENCE 700 1- Papp András Department of Surgery and 1st Department of Internal Medicine, Faculty of Medicine, University of Pécs, Hungary aut NATIONALLICENCE 700 1- Nemes János Department of Surgery and 1st Department of Internal Medicine, Faculty of Medicine, University of Pécs, Hungary aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer