conclusion with thorough technical knowledge and an adequate learning curve, pra could serve as the surgeon’s preferred surgical approach to the adrenal gland within the confines of its selection criteria. background since the early 1990s, endoscopic adrenalectomy has become the gold standard surgical approach for the adrenal gland. also, lateral transperitoneal adrenalectomy (lta) which is the...

nelson's syndrome is usually characterized by hyperpigmentation, elevated level of acth, and pituitary adenoma, which is frequently available as macroadenoma. it is usually occurred in the patients suffering from cushing's syndrome. growth of tumor has been revealed in 10-30% of the patients following adrenalectomy. tumors are often benign in nelson's syndrome. the selected treat...

PURPOSE The indication for laparoscopic total or partial adrenalectomy in patients with aldosterone producing adrenal adenoma remains controversial. We compared retroperitoneoscopic partial and total adrenalectomy for aldosterone producing adrenal adenoma in a prospective, randomized, multicenter trial. MATERIALS AND METHODS Patients with aldosterone producing adrenal adenoma were randomized ...

BACKGROUND AND OBJECTIVES The introduction of robotic surgery offers patients and surgeons new options for adrenalectomy. Whereas multiport adrenalectomies have been safely performed using the robot, we describe our experience with the novel technique of single-port robotic-assisted adrenalectomy. METHODS We performed a matched-cohort study comparing 16 single-port robotic-assisted adrenalect...

OBJECTIVE The authors review their experience with laparoscopic adrenalectomy in patients with benign adrenal neoplasms. Efficacy, safety, and cost effectiveness of the procedure are examined. BACKGROUND Laparoscopic adrenalectomy is replacing open adrenalectomy in some medical centers as the standard surgical approach for uncomplicated tumors. However, laparoscopic adrenalectomy often is con...

Aim: For adrenal lesions which are functional and bigger than four centimeters, the optional therapy is surgery. Laparoscopy for surgery of masses increasingly used today. In past, total adrenalectomy was performed any without exception; however, bilateral involvement tumors like pheochromocytoma causes trouble forced surgeons to try partial adrenalectomy. Recently, a routine surgical procedure...

BACKGROUND We compared the oncologic effectiveness of open adrenalectomy and endoscopic adrenalectomy in the treatment of patients with localized adrenocortical carcinoma. METHODS One hundred fifty-six patients with localized adrenocortical carcinoma (stage I/II) who underwent R0 resection were included in an Italian multiinstitutional surgical survey. They were divided into 2 groups based on...

Background. Laparoscopic lateral transperitoneal adrenalectomy (LTA) has been the standard method for resecting benign adrenal gland tumors. Recently, however, laparoscopic posterior retroperitoneal adrenalectomy (PRA) has been more popular as an alternative method. This systematic review evaluates current evidence on adrenalectomy techniques, comparing laparoscopic LTA with PRA and laparoscopi...

Indications for bilateral adrenalectomy are rarely present in patients with Cushing's syndrome. The laparoscopic approach to adrenalectomy provides a postoperative course that compares favorably with that of open adrenalectomy, and the hand-assisted technique may provide an additional alternative to the open approach in performing bilateral adrenalectomy.