PMID- 18771144
OWN - NLM
STAT- MEDLINE
DCOM- 20080923
LR  - 20211203
IS  - 0450-2167 (Print)
IS  - 0450-2167 (Linking)
IP  - 6
DP  - 2005
TI  - [Retroperitoneal endoscopic adrenalectomy vs. conventional adrenalectomy in 
      treatment of benign adrenal lesions--comparative analysis].
PG  - 9-13
AB  - BACKGROUND: Miniinvasive adrenalectomy is considered to be the standard of care 
      for the surgical treatment of the adrenal gland's pathology. Since the initial 
      report of laparoscopic adrenalectomy in 1992 and of retroperitoneal endoscopic 
      adrenalectomy in 1994, it has evolved into a feasible and safe minimally invasive 
      procedure for benign adrenal tumors. METHODS: Clinical characteristics and 
      outcomes of 63 retroperitoneal endoscopic adrenalectomies (REAs) and 45 
      conventional adrenalectomies (CAs) from 1996 to 2004 were evaluated. RESULTS: 61 
      patients underwent 63 REAs. Tumor size varied from 2 to 8 cm. Median age was 48.6 
      years. Mean operative time was 135 min (45-240), mean intraoperative blood loss - 
      85 ml (30-550). The complication rate was 17.77%. Median postoperative hospital 
      stay was 5 days (2-10). 44 patients underwent 45 conventional adenalectomies. 
      Median age was 44.5 years (16-71). Intraoperative complication rate was 17.77%, 
      postoperative - 22.22%, Mean operative time was 120 min (75-240). Median 
      postoperative hospital stay was 10 days (6-21). CONCLUSION: No statistically 
      significant difference was established between mean operative times of REA- and 
      CA-groups (p=0.91). Conventional adrenalectomy was associated with a 
      significantly increased complication rate (p=0.009). Hospitalization was also 
      longer after the open technique (p < 0.0001). Introduced in 1994 and displaying 
      all advantages of minimal access surgery REA has become the standard of care for 
      benign adrenal tumors.
FAU - Todorov, G
AU  - Todorov G
FAU - Petkov, R
AU  - Petkov R
FAU - Lukanova, Ts
AU  - Lukanova Ts
FAU - Mladenovski, V
AU  - Mladenovski V
LA  - bul
PT  - Comparative Study
PT  - Journal Article
PL  - Bulgaria
TA  - Khirurgiia (Sofiia)
JT  - Khirurgiia
JID - 0376355
SB  - IM
MH  - Adolescent
MH  - Adrenal Gland Neoplasms/*surgery
MH  - Adrenalectomy/*methods
MH  - Adult
MH  - Aged
MH  - Endoscopy/*methods
MH  - Female
MH  - Humans
MH  - Intraoperative Complications/epidemiology/etiology
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/epidemiology/etiology
MH  - Prohibitins
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2008/09/06 09:00
MHDA- 2008/09/24 09:00
CRDT- 2008/09/06 09:00
PHST- 2008/09/06 09:00 [pubmed]
PHST- 2008/09/24 09:00 [medline]
PHST- 2008/09/06 09:00 [entrez]
PST - ppublish
SO  - Khirurgiia (Sofiia). 2005;(6):9-13.