지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 90 - 95 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Laparoscopic posterior retroperitoneal adrenalectomy (LPRA) is a surgical method that accesses the adrenal gland through the back. The aim of this study was to report initial experience of LPRA and evaluate possibilities for surgical application.
Methods: From March 2018 to December 2019, a total of 30 consecutive patients diagnosed with adrenal tumor underwent surgical treatment at Pusan National University Hospital were enrolled. Clinicopathologic features and various peri- and postoperative parameters were analyzed by retrospective medical record review. The mean age of the patients was 48.20±13.66 years.
Results: The mean body mass index (BMI) was 25.50±4.30 kg/m². Primary hyperaldosteronism was the most frequently preoperative diagnosed disease (n=13, 43.4%), followed by adrenal incidentaloma (n=8, 26.6%), Cushing syndrome (n=5, 16.6%) and pheochromocytoma (n=4, 13.3%). The mean size of postoperative adrenal tumor was 2.72±1.76 cm. The mean operating time was 162±58.14 minutes. Among the 30 patients, 28 patients underwent total adrenalectomy (93.3%) and two patients underwent cortical sparing adrenalectomy (6.7%). When LPRA was performed for patients with BMI >23.16 kg/m², the operating time was longer than the average (P=0.016).
Conclusion: LPRA was suitable and safe for patients with benign adrenal tumors. BMI, retroperitoneal fat density and postoperative adrenal weight may be related to the operating time, so they should be considered when deciding on a surgical method for adrenalectomy.
Methods: From March 2018 to December 2019, a total of 30 consecutive patients diagnosed with adrenal tumor underwent surgical treatment at Pusan National University Hospital were enrolled. Clinicopathologic features and various peri- and postoperative parameters were analyzed by retrospective medical record review. The mean age of the patients was 48.20±13.66 years.
Results: The mean body mass index (BMI) was 25.50±4.30 kg/m². Primary hyperaldosteronism was the most frequently preoperative diagnosed disease (n=13, 43.4%), followed by adrenal incidentaloma (n=8, 26.6%), Cushing syndrome (n=5, 16.6%) and pheochromocytoma (n=4, 13.3%). The mean size of postoperative adrenal tumor was 2.72±1.76 cm. The mean operating time was 162±58.14 minutes. Among the 30 patients, 28 patients underwent total adrenalectomy (93.3%) and two patients underwent cortical sparing adrenalectomy (6.7%). When LPRA was performed for patients with BMI >23.16 kg/m², the operating time was longer than the average (P=0.016).
Conclusion: LPRA was suitable and safe for patients with benign adrenal tumors. BMI, retroperitoneal fat density and postoperative adrenal weight may be related to the operating time, so they should be considered when deciding on a surgical method for adrenalectomy.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (22)
참고문헌 신청
Gagner M / 1992 / Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma / N Engl J Med 327:1033
Schell SR / 1999 / Laparoscopic adrenalectomy for nonmalignant disease : improved safety, morbidity, and cost-effectiveness / Surg Endosc 13:30~34
Soares RL Jr / 1999 / Laparoscopic adrenalectomy for benign adrenal neoplasms / Surg Endosc 13:40~42
Barreca M / 2003 / Expectations and outcomes when moving from open to laparoscopic adrenalectomy : multivariate analysis / World J Surg 27:223~228
Cobb WS / 2005 / Laparoscopic adrenalectomy for malignancy / Am J Surg 189:405~411
Schell SR / 1999 / Laparoscopic adrenalectomy for nonmalignant disease : improved safety, morbidity, and cost-effectiveness / Surg Endosc 13:30~34
Soares RL Jr / 1999 / Laparoscopic adrenalectomy for benign adrenal neoplasms / Surg Endosc 13:40~42
Barreca M / 2003 / Expectations and outcomes when moving from open to laparoscopic adrenalectomy : multivariate analysis / World J Surg 27:223~228
Cobb WS / 2005 / Laparoscopic adrenalectomy for malignancy / Am J Surg 189:405~411
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Minimally Invasive Adrenal Surgery
Endocrinology and Metabolism
2020 .01
-
A single center experience of adrenalectomy for adrenal tumors
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2017 .12
-
Clinical Outcome after Adrenalectomy for Adrenal Metastasis: Laparoscopy versus Open Adrenalectomy
대한외과학회 학술대회 초록집
2022 .11
-
The Factor of Prolonged Operation Time in Patients Performing Laparoscopic Posterior Retroperitoneal Adrenalectomy Is Not the Periadrenal Fat Volume But the Tumor Size and Deep Location of the Tumor: A Single Tertiary Center Experience
대한외과학회 학술대회 초록집
2020 .11
-
Safety and Feasibility of Reduced-Port Site Surgery for Robotic Posterior Retroperitoneal Adrenalectomy
대한외과학회 학술대회 초록집
2019 .10
-
Details in adrenal surgery
대한외과학회 학술대회 초록집
2016 .11
-
Various Methods for Laparoscopic Adrenalectomy
The Journal of Endocrine Surgery
2023 .03
-
Cortex Sparing Adrenalectomy of Adrenal Cortical Disease
대한외과학회 학술대회 초록집
2021 .11
-
Laparoscopic Retroperitoneoscopic Removal of an Adrenal Hemangioma: a Case Report
The Journal of Endocrine Surgery
2021 .09
-
Clinical Experience of Isolated Metachronous Adrenal Gland Metastases from Solid Primary Carcinomas
The Journal of Endocrine Surgery
2017 .01
-
Comparison of Surgical Outcomes between Two-port and Three-port Robotic Retroperitoneal Adrenalectomy
대한외과학회 학술대회 초록집
2022 .11
-
Adrenal Morphology as an Indicator of Long-Term Disease Control in Adults with Classic 21-Hydroxylase Deficiency
Endocrinology and Metabolism
2022 .02
-
Retroperitoneal Hepatocellular Carcinoma Rupture Mimicking Adrenal Hematoma
대한외과학회 학술대회 초록집
2018 .11
-
갑상선내분비 I 약 주고, 혹 떼고, 약 주는 부신 종양
대한외과학회 학술대회 초록집
2021 .05
-
Comparison of surgical outcomes between lateral and posterior approaches for retroperitoneal laparoscopic adrenalectomy: A single surgeon's experience
Investigative and Clinical Urology
2020 .01
-
Embryonic Development and Adult Regeneration of the Adrenal Gland
Endocrinology and Metabolism
2020 .01
-
Retroperitoneal hepatocellular carcinoma rupture, is mistaken adrenal hemorrhage : case report and review of literature
대한임상종양학회 학술대회지
2019 .02
-
Cushing Syndrome Caused by ACTH-independent Macronodular Adrenal Hyperplasia
대한내과학회지
2017 .01
-
Single incision Laparoscopic Left adrenalectomy
대한외과학회 학술대회 초록집
2019 .10
이 논문의 저자 정보
최근 본 자료
댓글(0)
0