Minimal-invasive Nebennierenchirurgie

Walz, Martin K.

doi:10.1007/s00104-011-2194-5

Cited by 31 publications

(6 citation statements)

References 37 publications

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“…Although a comparison between PR and TP approaches was not performed in this study, PR technique may offer less postoperative pain and faster recovery according to several reports [3,7,10]. …”

Section: Discussionmentioning

confidence: 99%

“…It is easy to understand that PR technique avoids adhesions from previous surgeries and avoids inadvertent intraperitoneal organ injury during bowel mobilization, as can occur in TP approach [3]. Additionally, it has been demonstrated that PR has advantages over TP approach in terms of in-hospital length of stay (there are reports of same-day discharges for PR), minimal blood loss, reduced postoperative pain and faster recovery [3,6,7,10]. Walz et al [5] presented a conversion rate of 2,0% to open or laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

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Posterior retroperitoneoscopic adrenalectomy—Case series

Almeida

Caroço

Silva

et al. 2018

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Posterior retroperitoneoscopic adrenalectomy—Case series

Almeida

Caroço

Silva

et al. 2018

International Journal of Surgery Case Reports

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“…Laparoscopic adrenalectomy is a well-described and safe surgical intervention with limited surgical trauma [6][7][8][9][10]. Patients are usually well monitored during anesthesia with regard to the underlying diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic surgery for adrenal gland pathologies has been well-established for several decades. It has been proven that both a transabdominal as well as a strictly retroperitoneal approach are safe procedures with low mortality and morbidity [6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Adrenal Gland Surgery in Times of COVID – Is a Safety-Interval Before Surgery After COVID-Infection Still Mandatory?

Lang,

Schirren,

Wirth

et al. 2024

Exp Clin Endocrinol Diabetes

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Background Due to a multicenter study early in the coronavirus disease (COVID)-pandemic that revealed an increased risk for postoperative mortality, thromboembolic and pulmonary complications in case of surgery shortly after a COVID infection, current recommendations for planning elective surgeries suggest postponing surgery for at least 7 weeks after COVID infection. However, virus variants have evolved throughout the pandemic, leading to less severe symptoms. Besides, laparoscopic adrenal gland surgery itself is a safe procedure with low morbidity rates. Therefore, this study aimed to compare the perioperative course of patients undergoing laparoscopic adrenalectomy shortly after a COVID-19 infection with those who had not had a recent SARS-CoV-2 infection in 2022. Patients, Material, and Methods All patients who underwent laparoscopic adrenalectomy at the Department for General, Visceral and Transplantation Surgery at Ludwig-Maximilian University between January and December 2022 were included. Results There was no event of thromboembolic or pulmonary complications in the study population. Duration of surgery did not differ between the two groups; neither did the need for postoperative ICU-admittance nor the duration of ICU-stay. Intraoperative FiO2 did not differ, nor did the SpO2 or the number of different catecholamines. There was a slight trend towards higher noradrenaline dosage among patients after COVID-19 infection. Previous COVID infection did not lead to prolonged hospital stays. Conclusion The results demonstrate that in case of well-standardized surgical procedures, with a limited surgical trauma and the possibility for patients to be mobilized early, surgery shortly after a mild COVID infection seems safe and reasonable.

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“…In a recent similar study, Walz [27] reported that retroperitoneal approaches might offer faster recovery in the early postoperative period. Furthermore, lower blood loss may lead to early recovery owing to lower complications.…”

Section: Discussionmentioning

confidence: 99%

Changing Surgical Approaches for Laparoscopic Adrenalectomy: Single-Surgeon Data of a 6-Year Experience

Arslan¹,

Akın²,

Ateş³

et al. 2013

Urol Int

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Aim: To evaluate outcomes of laparoscopic adrenalectomy (LA) and laparoendoscopic single-site surgery (LESS) for adrenal masses in the light of changing laparoscopic surgical techniques. Materials and Methods: Seventy-three patients were analyzed retrospectively. There were 2 groups; group 1 included patients who had conventional transperitoneal LA and transperitoneal LESS, and group 2 included patients who had lateral retroperitoneal LA, retroperitoneal LA in prone position, and retroperitoneal LESS. Demographic data, urine 3-methoxy-4-hydroxymandelic acid, normetanephrine, epinephrine, serum cortisol, aldosterone, adrenocorticotropic hormone, American Society of Anesthesiologists score, side and size of mass, conversion to open surgery, complications, estimated blood loss, operation time, pathological results were recorded and analyzed. Results: There was no difference in demographic data and serum parameters between both groups. Tumor size, estimated blood loss, operation time, transfusion rate and hospital stay were less for group 2 (p < 0.05, p = 0.0001). However, the complication rate was similar in both groups; in retroperitoneal prone position, the complication rate was less than for other surgical approaches, but statistically significant results could not be assessed. Conclusions: Even if the diameter of adrenal mass is larger than 6 cm, LA may be considered as the gold standard. The retroperitoneal approach especially in prone position may be a promising treatment method in the near future for adrenalectomy in selected patients.

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Minimal-invasive Nebennierenchirurgie

Cited by 31 publications

References 37 publications

Posterior retroperitoneoscopic adrenalectomy—Case series

Posterior retroperitoneoscopic adrenalectomy—Case series

Laparoscopic Adrenal Gland Surgery in Times of COVID – Is a Safety-Interval Before Surgery After COVID-Infection Still Mandatory?

Changing Surgical Approaches for Laparoscopic Adrenalectomy: Single-Surgeon Data of a 6-Year Experience

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