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The Optimal Approach for Laparoscopic Adrenalectomy through Mono Port regarding Left or Right Sides: A Comparative Study
Joint Authors
Byon, Wooseok
Hyun, Keehoon
Yun, Ji-Sup
Park, Yong Lai
Park, Chan Heun
Source
International Journal of Endocrinology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Several studies have shown the feasibility and safety of both transperitoneal and posterior retroperitoneal approaches for single incision laparoscopic adrenalectomy, but none have compared the outcomes according to the left- or right-sided location of the adrenal glands.
Materials and Methods.
From 2009 to 2013, 89 patients who received LAMP (laparoscopic adrenalectomy through mono port) were analyzed.
The surgical outcomes attained using the transperitoneal approach (TPA) and posterior retroperitoneal approach (PRA) were analyzed and compared.
Results and Discussion.
On the right side, no significant differences were found between the LAMP-TPA and LAMP-PRA groups in terms of patient characteristics and clinicopathological data.
However, outcomes differed in which LAMP-PRA group had a statistically significant shorter mean operative time (84.13 ± 41.47 min versus 116.84 ± 33.17 min; P = 0.0 38 ), time of first oral intake (1.00 ± 0.00 days versus 1.21 ± 0.42 days; P = 0.042 ), and length of hospitalization (2.17 ± 0.389 days versus 3.68 ± 1.38 days; P ≤ 0.001 ), whereas in left-sided adrenalectomies LAMP-TPA had a statistically significant shorter mean operative time (83.85 ± 27.72 min versus 110.95 ± 29.31 min; P = 0.002 ).
Conclusions.
We report that LAMP-PRA is more appropriate for right-sided laparoscopic adrenalectomies due to anatomical characteristics and better surgical outcomes.
For left-sided laparoscopic adrenalectomies, however, we propose LAMP-TPA as a more suitable method.
American Psychological Association (APA)
Byon, Wooseok& Hyun, Keehoon& Yun, Ji-Sup& Park, Yong Lai& Park, Chan Heun. 2014. The Optimal Approach for Laparoscopic Adrenalectomy through Mono Port regarding Left or Right Sides: A Comparative Study. International Journal of Endocrinology،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1036578
Modern Language Association (MLA)
Byon, Wooseok…[et al.]. The Optimal Approach for Laparoscopic Adrenalectomy through Mono Port regarding Left or Right Sides: A Comparative Study. International Journal of Endocrinology No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1036578
American Medical Association (AMA)
Byon, Wooseok& Hyun, Keehoon& Yun, Ji-Sup& Park, Yong Lai& Park, Chan Heun. The Optimal Approach for Laparoscopic Adrenalectomy through Mono Port regarding Left or Right Sides: A Comparative Study. International Journal of Endocrinology. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1036578
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1036578