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Retroperitoneal adrenalectomy

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https://www.readbyqxmd.com/read/29867073/first-case-report-of-a-huge-giant-cell-tumor-of-soft-tissue-originating-from-the-retroperitoneum
#1
Shinji Kishi, Hiroyuki Monma, Hiroshige Hori, Shoichi Kinugasa, Masayo Fujimoto, Takeshi Nakamura
BACKGROUND Giant cell tumor of soft tissue (GCT-ST) is a rare disease generally generated from superficial tissue. We report an extremely rare case of giant cell tumor of soft tissue arising from retroperitoneal tissue. CASE REPORT A 78-year-old man visited our medical center with the chief complaint of fatigue and weight loss for 1 month. He had a hard and immobilized mass without pain in the left upper quadrant. Contrast-enhanced CT showed a huge tumor (22×20×16 cm) in the retroperitoneal space, and it invaded into the stomach, colon, pancreas, spleen, and left kidney...
June 5, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29804624/functional-adrenal-cortex-preservation-a-good-reason-for-posterior-retroperitoneal-endoscopic-approach
#2
Óscar Vidal, Eduardo Delgado-Oliver, Rafael Díaz Del Gobbo, Felicia Hanzu, Mattia Squarcia, Daniel Martínez, David Fuster, Constantino Fondevila
INTRODUCTION: Cortical-sparing adrenalectomy is a suitable treatment for hereditary and sporadic bilateral pheochromocytoma, in cases of low risk of malignancy, to reduce the possibility of adrenal insufficiency assuming the chance of local recurrence. The aim of the study is to analyze the functional results of partial adrenalectomy by retroperitoneal endoscopic approach in single-adrenal patients or patients requiring bilateral adrenalectomy. METHODS: Prospective study between January 2015 and February 2016 including pheochromocytoma patients diagnosed with low risk of malignant mutations...
May 24, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29739388/surgical-management-of-large-adrenal-tumors-impact-of-different-laparoscopic-approaches-and-resection-methods-on-perioperative-and-long-term-outcomes
#3
Wei Chen, Yong Liang, Wei Lin, Guang-Qing Fu, Zhi-Wei Ma
BACKGROUND: The indication of retroperitoneal laparoscopic adrenalectomy (RLA) was extended with the retroperitoneal approach and has been wildly accepted and technologically matured. However, the management of large adrenal tumors via this approach still remains controversial. The aim of this study was to perform a comprehensive analysis on the minimally invasive surgical management of larger adrenal tumors. METHODS: A total of 78 patients with large adrenal tumors (> 5 cm) and 97 patients with smaller adrenal tumors (< 5 cm) were enrolled in this study...
May 8, 2018: BMC Urology
https://www.readbyqxmd.com/read/29697143/feasibility-of-single-port-retroperitoneoscopic-adrenalectomy-in-dogs
#4
Jonghyeok Ko, Junemoe Jeong, Sungin Lee, Hyunglak Son, Oh-Kyeong Kweon, Wan Hee Kim
OBJECTIVE: To evaluate the feasibility of single-port retroperitoneoscopic adrenalectomy (SPRA) in dogs. STUDY DESIGN: A pilot experimental study. ANIMALS: Eight healthy beagle dogs. METHODS: SPRA was performed on the left and right sides (4 dogs each). Resection of the adrenal gland was performed through a SILS port using a retroperitoneal approach. Operative time was defined from skin incision to the completion of skin suture...
April 26, 2018: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29676058/editorial-comment-to-laparoscopic-adrenalectomy-using-the-lateral-retroperitoneal-approach-is-it-a-safe-and-feasible-treatment-option-for-pheochromocytomas-larger-than-6-cm
#5
Michał Pędziwiatr
No abstract text is available yet for this article.
May 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29560790/unilateral-adrenal-hematoma-with-associated-giant-mass-a-report-of-two-cases
#6
Yoshitaka Uji
BACKGROUND: Adrenal hematoma is a rare yet potentially life-threatening event that occurs both in traumatic conditions and in a variety of nontraumatic conditions. In the present study, we report the two cases with idiopathic unilateral adrenal hematoma. CASE PRESENTATION: Case 1 involved a 72-year-old man who was complaining of upper abdominal pain. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated a giant mixed density tumor in the right retroperitoneal space...
March 21, 2018: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/29507374/single-plane-retroperitoneoscopic-adrenalectomy-a-new-operative-procedure-for-benign-adrenal-disease
#7
Songchao Li, Jun Wang, Erwei Zhang, Wansheng Gao, Jinjian Yang, Zhankui Jia
To evaluate the therapeutic effect of single-plane retroperitoneoscopic adrenalectomy. From February 2014 to March 2017, 251 patients underwent single-plane retroperitoneoscopic adrenalectomy, and their operative outcomes were compared with those of 98 patients who underwent anatomical three-plane retroperitoneoscopic adrenalectomy. Among 35 patients with a body mass index (BMI) of ≥30 kg/m2 , their operative outcomes were compared between two operative procedures. The demographic data and perioperative outcomes of the patients were statistically analysed...
March 5, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29503221/collaborating-with-our-adult-colleagues-a-case-series-of-robotic-surgery-for-suspicious-and-cancerous-lesions-in-children-and-young-adults-performed-in-a-free-standing-children-s-hospital
#8
Briony K Varda, Patricia Cho, Andrew A Wagner, Richard S Lee
BACKGROUND: In adult urologic oncology the use of robotics has become commonplace; in pediatric urology it is rare. Herein, we describe a collaboration between an adult and a pediatric urologist performing robotic surgery for children and young adults with suspicious or cancerous genitourinary (GU) lesions. OBJECTIVES: To evaluate clinical and oncologic outcomes in children and young adults undergoing robotic surgery for suspicious or cancerous lesions of the GU tract; to describe our collaborative model between an adult and pediatric surgeon at a free-standing children's hospital...
March 2, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29478297/laparoscopic-adrenalectomy-using-the-lateral-retroperitoneal-approach-is-it-a-safe-and-feasible-treatment-option-for-pheochromocytomas-larger-than-6-cm
#9
Ho Seok Chung, Myung Soo Kim, Ho Song Yu, Eu Chang Hwang, Sun-Ouck Kim, Kyung Jin Oh, Seung Il Jung, Taek Won Kang, Kwangsung Park, Dong Deuk Kwon
OBJECTIVES: To evaluate the surgical feasibility of laparoscopic adrenalectomy using the lateral retroperitoneal approach for the treatment of large pheochromocytomas, and to identify the preoperative risk factors for intraoperative hypertension. METHODS: We retrospectively reviewed 51 patients who underwent laparoscopic adrenalectomy using the lateral retroperitoneal approach for the treatment of pheochromocytomas. Patient characteristics and perioperative outcomes were analyzed and compared between the two study groups based on tumor size: group A (n = 27, ≤6 cm) and group B (n = 24, ˃6 cm)...
May 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29448302/retroperitoneal-laparoscopic-adrenalectomy-with-transient-renal-artery-occlusion-for-large-adrenal-tumors-%C3%A2-8-cm
#10
Binbin Gong, Ming Ma, Wenjie Xie, Xiaorong Yang, Ting Sun
OBJECTIVES: To analyze our experience in retroperitoneal laparoscopic adrenalectomy (RLA) with transient renal artery occlusion for large adrenal tumors (≥8 cm) and to explore the safety and feasibility of this surgical procedure. METHODS: A retrospective cohort study was conducted with a surgical data review of 18 patients with large adrenal tumors who underwent RLA with transient renal artery occlusion in our hospital. RESULTS: Eighteen patients were treated by RLA with transient occlusion of the renal artery, and none were converted to open adrenalectomy...
February 15, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29396817/renal-medullary-carcinoma-a-nearly-fatal-malignancy-specifically-affecting-patients-with-a-so-called-benign-condition
#11
Yamila Goenaga-Vázquez, Gloria Colón, Nilka Barrios, María Correa
Renal medullary carcinoma (RMC) is a highly aggressive and rare malignancy found almost exclusively in young patients with sickle cell trait (SCT). Metastatic disease is commonly present at diagnosis. There is very limited experience treating disseminated disease and the prognosis is dismal. We report the case of a young 9-year-old boy with SCT, who presented with 4 months' progression of abdominal pain, nausea and vomiting associated with cough spells, dysphagia, and weight loss. Upon evaluation, he was underweight, pale, and in mild respiratory distress...
May 2018: CEN Case Reports
https://www.readbyqxmd.com/read/29392429/minimally-invasive-surgery-mis-in-children-and-adolescents-with-pheochromocytomas-and-retroperitoneal-paragangliomas-experiences-in-42-patients
#12
Martin K Walz, Laura D Iova, Judith Deimel, Hartmut P H Neumann, Birke Bausch, Stefan Zschiedrich, Harald Groeben, Pier F Alesina
BACKGROUND: Pheochromocytomas (PH) and paragangliomas (PGL) are rare tumours in children accounting for about 1% of the paediatric hypertension. While minimally invasive surgical techniques are well established in adult patients with PH, the experience in children is extremely limited. To the best of our knowledge, we herewith present the largest series of young patients operated on chromaffin tumours by minimally invasive access. MATERIALS: In the setting of a prospective study (1/2001-12/2016), 42 consecutive children and adolescents (33 m, 9 f) were operated on...
April 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29390591/robot-assisted-laparoendoscopic-single-site-adrenalectomy-a-comparison-of-3-different-port-platforms-with-3-case-reports
#13
COMPARATIVE STUDY
Hung-Cheng Kan, See-Tong Pang, Chun-Te Wu, Ying-Hsu Chang, Chung-Yi Liu, Cheng-Keng Chuang, Po-Hung Lin
RATIONALE: Laparoscopic adrenalectomy is currently the standard of care for adrenal lesion. Minimal invasive laparoscopic surgery such as laparoendoscopic single site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES) have been developed to improve cosmetic outcomes and reduce postoperative pain. However, there are still some problems related to instruments and port limitation during LESS surgery. Robot-assisted laparoscopic surgery may help to overcome these problems, and port platforms selection is an important issue...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390437/chronic-primary-adrenal-insufficiency-after-unilateral-adrenonephrectomy-a-case-report
#14
Satoshi Yoshiji, Kimitaka Shibue, Toshihito Fujii, Takeshi Usui, Keisho Hirota, Daisuke Taura, Mayumi Inoue, Masakatsu Sone, Akihiro Yasoda, Nobuya Inagaki
RATIONALE: Unilateral adrenalectomy as part of surgical resection of renal cell carcinoma (RCC) is not thought to increase the risk of chronic adrenal insufficiency, as the contralateral adrenal gland is assumed to be capable of compensating for the lost function of the resected gland. However, recent studies have indicated that adrenalectomy might cause irreversible impairment of the adrenocortical reserve. We describe a case of chronic primary adrenal insufficiency in a 68-year-old man who previously underwent unilateral adrenonephrectomy, which was complicated by severe postoperative adrenal stress that involved cardiopulmonary disturbance and systemic infection...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29388004/a-cost-conscious-approach-to-robotic-adrenalectomy
#15
Zuliang Feng, Michael P Feng, David P Feng, Mark J Rice, Carmen C Solórzano
In recent years, the use of robotic-assisted adrenalectomy (RA) has increased; however, many surgeons question its reported higher cost. In this study, we review our experience and strategies to reduce the cost of RA comparing it to Laparoscopic adrenalectomy (LA). Since May of 2010, 122 consecutive patients underwent minimally invasive adrenalectomy (58 RAs and 64 LA) by a high-volume adrenal surgeon at our institution. A cost analysis was performed for RA versus LA. Cost calculations included anesthesia professional fee, procedure time and consumables fees...
January 31, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29232799/-a-case-of-adult-mature-teratoma-located-in-retroperitoneum
#16
Kimiaki Takagi, Yuka Maekawa, Kenichi Minoshima, Masayoshi Yamaha, Toshio Kato, Shigeaki Yokoi, Masanobu Horie
A 35-year-old man wasreferred to our hospital for treatment of a right adrenal tumor detected by ultrasonography during a physical check-up. Contrast-enhanced abdominal computed tomography revealed a poorly enhanced 74 mm tumor situated adjacent to the upper pole of the right kidney. The tumor consisted of fat with peripheral calcification. Magnetic resonance imaging also revealed a right retroperitoneal tumor with fatty contents and well-circumscribed capsule. The endocrine examination revealed the tumor as non-functioning...
November 2017: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/29224270/-diagnosis-and-treatment-of-adrenal-ganglioneuroma-a-report-of-80-cases
#17
H Fan, H Z Li, Z G Ji, B B Shi, Y S Zhang
Objective: To review and discuss the experience of diagnosis and treatment of adrenal ganglioneuroma. Methods: Clinical data of 80 cases of adrenal ganglioneuroma undergoing surgery during January 1982 to May 2017 at Peking Union Medical College Hospital were retrospectively analyzed. There were 36 male and 44 female patients. Age ranged from 8 to 69 years old (mean 37.7 years old). The tumor diameter were 1.5 to 18.0 cm (mean 4.3 cm). There were 61 cases of adrenal ganglioneuroma diagnosed by imaging examination...
December 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29157938/-vascular-adrenal-cyst-causing-difficult-to-control-high-blood-pressure
#18
D García Escudero, M Torres Roca, M E Hernández Contreras, C Sánchez Rodríguez, J Oñate Celdrán
Hypertension is a prevalent disease in developed countries. Adrenal masses, and especially adrenal cysts, are a rare and usually asymptomatic finding, which can go unnoticed or be detected as incidental findings in imaging tests. These circumstances make the multidisciplinary approach mandatory. The case is presented on a 72 year-old woman with uncontrolled high blood pressure referred to the Urology Department due to the incidental finding of a right retroperitoneal mass. A functional and imaging study was performed, establishing a diagnosis of adrenal cyst causing hypertensive symptoms...
January 2018: Hipertensión y Riesgo Vascular
https://www.readbyqxmd.com/read/29122324/hemodynamic-instability-during-surgery-for-pheochromocytoma-comparing-the-transperitoneal-and-retroperitoneal-approach-in-a-multicenter-analysis-of-341-patients
#19
MULTICENTER STUDY
Wessel M C M Vorselaars, Emily L Postma, Eric Mirallie, Julien Thiery, Mattan Lustgarten, Jesse D Pasternak, Rocco Bellantone, Marco Raffaelli, Thomas Fahey, Menno R Vriens, Laurent Bresler, Laurent Brunaud, Rasa Zarnegar
BACKGROUND: Intraoperative hemodynamic instability is a major challenge during adrenalectomy for pheochromocytoma. Typically, pheochromocytoma is performed laparoscopically either through the retroperitoneal or transperitoneal approach. We aimed to determine if the operative approach affects intraoperative hemodynamic instability during surgery for pheochromocytoma in a large multicenter multicenter cohort. METHODS: Retrospective, multicenter analysis of consecutive patients with pheochromocytoma who underwent total unilateral laparoscopic adrenalectomy without conversion were included...
January 2018: Surgery
https://www.readbyqxmd.com/read/29067922/primary-adrenal-teratoma-an-unusual-tumor-challenges-in-diagnosis-and-surgical-management
#20
P Ramakant, C Rana, K R Singh, A Mishra
We report a rare case of a 25-year-old lady who presented with right hypochondriac pain associated with weakness for 3 months. Her hormonal evaluation was normal. Computed tomography scan revealed an adrenal mass for which a right open transperitoneal adrenalectomy was performed, and the lesion was diagnosed as mature teratoma on histopathological examination. Teratoma is an unusual neoplasm which arises from one or all the three germ layers. Extragonadal teratomas are rare in adults as compared to children and are mostly retroperitoneal in location, constituting only 4% of all primary teratomas...
April 2018: Journal of Postgraduate Medicine
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