caa a22 4500 477035183 CHVBK 20180405111303.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/s002689900117 doi (NATIONALLICENCE)springer-10.1007/s002689900117 Posterior Retroperitoneoscopy as a New Minimally Invasive Approach for Adrenalectomy: Results of 30 Adrenalectomies in 27 Patients [Elektronische Daten] [Martin K. Walz, Klaus Peitgen, Rudolf Hoermann, Reiner M. Giebler, Klaus Mann, Friedrich W. Eigler] Abstract. Posterior retroperitoneoscopic adrenalectomy is a new minimally invasive method. It represents an alternative to conventional open procedures and laparoscopic techniques. Between July 1994 and November 1995 a total of 30 retroperitoneoscopic adrenalectomies were performed on 27 patients. In 24 patients, unilateral tumors were seen (size 1-7 cm): seven Cushing adenomas, five Conn adenomas, seven pheochromocytomas, four hormonally inactive tumors, one cyst. Three patients suffered from Cushing syndrome with bilateral adrenal gland hyperplasias (two inoperable pituitary gland tumors, one bronchial carcinoid with ACTH secretion). The operations were carried out in prone position. After balloon dilatation of the retroperitoneum and creation of a pneumoperitoneum the preparation of the adrenal gland was performed via three trocar sites positioned below the 12th rib. Twenty-five adrenalectomies were completed endoscopically, and five times (among four patients) conversion to the conventional posterior technique was necessary. The average operating time of complete endoscopic adrenalectomies was 124 minutes (45-225 minutes); blood loss was 10 to 120 ml. With minimal need for postoperative analgesia (average dosage 7.9 mg of piritramide), mobilization and adequate food uptake were possible on the day of operation. The posterior retroperitoneoscopic adrenalectomy is a relatively fast, safe method, with the advantages of the posterior open approach and minimally invasive surgery. It therefore represents an important addition to adrenal gland surgery.: 1996 by the Société Internationale de Chir, ugie Walz Martin K. Department of General Surgery, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut Peitgen Klaus Department of General Surgery, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut Hoermann Rudolf Department of Endocrinology, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut Giebler Reiner M. Institute of Anesthesiology, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut Mann Klaus Department of Endocrinology, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut Eigler Friedrich W. Department of General Surgery, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut https://doi.org/10.1007/s002689900117 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900117 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Walz Martin K. Department of General Surgery, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut NATIONALLICENCE 700 1- Peitgen Klaus Department of General Surgery, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut NATIONALLICENCE 700 1- Hoermann Rudolf Department of Endocrinology, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut NATIONALLICENCE 700 1- Giebler Reiner M. Institute of Anesthesiology, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut NATIONALLICENCE 700 1- Mann Klaus Department of Endocrinology, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut NATIONALLICENCE 700 1- Eigler Friedrich W. Department of General Surgery, Medical School, University of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer