A minimálisan invazív technika mint a mellékvese-sebészet "gold standardja"

Translated title of the contribution: [Minimally invasive technique as the gold standard of adrenal surgery].

András Vereczkei, Adám Molnár, O. Horvath

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Minimal invasive surgery of the adrenal gland is a "gold standard" procedure worldwide. Authors compare operative data to a historical control group retrospectively analyzing an almost 15 years period. Between 1997 and 2011, 175 transabdominal laparoscopic adrenalectomies were performed with the lateral approach. On the left side, a new "suprasplenic" approach was introduced with the superior mobilization of the spleen, and transection of the short gastric vessels. For larger lesions (above 7 cm) hand assisted laparoscopic method was applied. Average operative time of laparoscopic surgery was 77 minutes, compared to 115 minutes of open surgery. The average size of the tumor was 3.1 cm in the laparoscopic, and 4.9 cm in the open group. The largest tumors were similar in both groups, however the rate of smaller sized lesions was higher in the laparoscopic one. Conversion was required in 15 cases (8.6%) mostly due to bleeding. Complication rate was 10.8% in the laparoscopic and 24.6% in the conventional group. Hospital stay was significantly shorter with the laparoscopic technique (4.5 vs. 8.1 days). Among laparoscopic cases unexpected primary malignancy was reported in 3 cases (1.7%). The laparoscopic technique is the procedure of choice in case of benign adrenal tumors, which offer many advantages. Most metastasis localized to the adrenals can also be removed laparoscopically with expertise and self-restraint, without oncologic compromise. To assure the quality of pre- and postoperative care, cooperation with an endocrinologist is indispensable.

Original languageHungarian
Pages (from-to)365-369
Number of pages5
JournalMagyar sebészet
Volume65
Issue number5
Publication statusPublished - Oct 2012

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Preoperative Care
Neoplasms
Glandular and Epithelial Neoplasms
Postoperative Care
Quality of Health Care
Adrenalectomy
Operative Time
Adrenal Glands
Laparoscopy
Length of Stay
Stomach
Spleen
Hand
Hemorrhage
Neoplasm Metastasis
Control Groups
Endocrinologists

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A minimálisan invazív technika mint a mellékvese-sebészet "gold standardja". / Vereczkei, András; Molnár, Adám; Horvath, O.

In: Magyar sebészet, Vol. 65, No. 5, 10.2012, p. 365-369.

Research output: Contribution to journalArticle

Vereczkei, András ; Molnár, Adám ; Horvath, O. / A minimálisan invazív technika mint a mellékvese-sebészet "gold standardja". In: Magyar sebészet. 2012 ; Vol. 65, No. 5. pp. 365-369.
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