PMID- 36945664
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230323
IS  - 2288-4084 (Electronic)
IS  - 1738-8082 (Print)
IS  - 2288-4084 (Linking)
VI  - 17
IP  - 2
DP  - 2021 Dec
TI  - Initial experience with laparoscopic posterior retroperitoneal adrenalectomy in 
      single tertiary center.
PG  - 90-95
LID - 10.14216/kjco.21014 [doi]
AB  - 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/m(2). 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/m(2), 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.
CI  - Copyright (c) 2021 Korean Society of Surgical Oncology.
FAU - Han, Jeong Hee
AU  - Han JH
AUID- ORCID: 0000-0003-4713-2249
AD  - Department of Surgery, Pusan National University Hospital, Busan, Korea.
FAU - Lee, Byoung Chul
AU  - Lee BC
AD  - Department of Surgery, Pusan National University Hospital, Busan, Korea.
FAU - Park, Young Mok
AU  - Park YM
AD  - Department of Surgery, Pusan National University Hospital, Busan, Korea.
FAU - Jung, Hyuk Jae
AU  - Jung HJ
AD  - Department of Surgery, Pusan National University Hospital, Busan, Korea.
FAU - Kim, Dong-Il
AU  - Kim DI
AD  - Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, 
      Korea.
FAU - Choi, Jung Bum
AU  - Choi JB
AUID- ORCID: 0000-0002-5225-3929
AD  - Department of Surgery, Pusan National University Hospital, Busan, Korea.
LA  - eng
PT  - Journal Article
DEP - 20211231
PL  - Korea (South)
TA  - Korean J Clin Oncol
JT  - Korean journal of clinical oncology
JID - 9918521386106676
PMC - PMC9942749
OTO - NOTNLM
OT  - Adrenal surgery
OT  - Adrenal tumor
OT  - Adrenalectomy
OT  - Laparoscopic posterior retroperitoneal approach
COIS- No potential conflict of interest relevant to this article was reported.
EDAT- 2021/12/01 00:00
MHDA- 2021/12/01 00:01
PMCR- 2021/12/01
CRDT- 2023/03/22 01:58
PHST- 2021/09/13 00:00 [received]
PHST- 2021/12/17 00:00 [revised]
PHST- 2021/12/21 00:00 [accepted]
PHST- 2023/03/22 01:58 [entrez]
PHST- 2021/12/01 00:00 [pubmed]
PHST- 2021/12/01 00:01 [medline]
PHST- 2021/12/01 00:00 [pmc-release]
AID - kjco-17-2-90 [pii]
AID - 10.14216/kjco.21014 [doi]
PST - ppublish
SO  - Korean J Clin Oncol. 2021 Dec;17(2):90-95. doi: 10.14216/kjco.21014. Epub 2021 
      Dec 31.