Transperitoneal or retroperitoneal laparoscopic adrenalectomy: choosing proper technique for certain candidates Transperitoneal ya da retroperitoneal laparoskopik adrenalektomi: Belirli hastalarda uygun tekniğin seçilmesi
نویسندگان
چکیده
Laparoskopik adrenalektomi (LA), küçük boyutlu benign adrenal tümörlerin cerrahi tedavisinde günümüzde altın standart yaklaşımdır. Bu girişimin adrenal malign tümörlerin tedavisinde uygun olup olmadığı henüz kesinleşmemiştir. Belirli avantaj ve dezavantajları ile transperitoneal ya da retroperitoneal laparoskopik yaklaşımların, adrenal bezin cerrahi rezeksiyonunda uygun ve etkili olduğu ortaya konmuştur. Hangi yaklaşımın seçileceğine hastaya özel karar verilmelidir. LA’da komplikasyon oranları açık cerrahi ile benzerdir. Operasyon süresi daha uzundur, ancak postoperatif hasta seyri yönünden LA avantajlıdır. LA ile deneyimin artması ile malign adrenal tümörlerde de uygulanması mümkün olabilecektir.
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