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Retroperitoneal adrenalectomy

Fuminori Sato, Ken Nakagawa, Akihiro Kawauchi, Akio Matsubara, Takatsugu Okegawa, Tomonori Habuchi, Koji Yoshimura, Akio Hoshi, Hidefumi Kinoshita, Akira Miyajima, Yasuyuki Naitoh, Shogo Inoue, Naoshi Itaya, Shintaro Narita, Kazuya Hanai, Kazutoshi Okubo, Masaaki Yanishi, Tadashi Matsuda, Toshiro Terachi, Hiromitsu Mimata
OBJECTIVE: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan. METHODS: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. RESULTS: Four hundred and sixty-nine cases were included in the analysis...
October 4, 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
D Maccora, G V Walls, G P Sadler, R Mihai
INTRODUCTION The 2012 British Association of Endocrine and Thyroid Surgeons audit report showed that only 86 of 1359 patients who underwent adrenalectomy had a bilateral operation; thus the experience with this procedure remains limited. METHODS Retrospective review of patients undergoing bilateral adrenalectomy in a tertiary referral centre. RESULTS Between November 2005 and January 2016, bilateral adrenalectomy was performed in 23 patients (6 male, 17 female, age 43 ± 4 years) diagnosed with Cushing's disease (n = 13), hereditary phaeochromocytomas (n = 6), adrenocortical cancer (n = 2), colorectal metastatic disease (n = 1) and adrenocortical adenomas (n = 1)...
August 23, 2016: Annals of the Royal College of Surgeons of England
Mark W Ball, Ashok K Hemal, Mohamad E Allaf
OBJECTIVE: To provide an evidence-based systematic review of the use of laparoscopic and robotic adrenalectomy in the treatment of adrenal disease as part of the International Consultation on Urologic Diseases and European Association of Urology consultation on Minimally Invasive Surgery in Urology. METHODS: A systematic literature search (January 204-January 2014) was conducted to identify comparative studies assessing the safety and efficacy of minimally invasive adrenal surgery...
July 19, 2016: BJU International
Marouene Chakroun, Waild Kerkeni, Yosra Zidi, Haroun Ayed, Abderrazak Bouzouita, Mohamed Riadh Ben Slama, Sihem Rammeh, Amine Derouiche, Mohamed Chebil
A 74-year-old man presented with right flank pain and a palpable mass in the left flank. Blood pressure was normal. Contrastenhanced computed tomography (CT) showed a 17 × 16 × 12 cm retroperitoneal mass over the left kidney, solid and heterogeneous. There were also 3 retro aortic lymph nodes and bilateral renal lithiasis. Twenty four-hour urinary metanephrines and normetanephrines were normal. The patient underwent a resection of the mass with left adrenalectomy by a lumbar incision. Histological findings revealed an adrenal oncocytic neoplasm (AON) with uncertain malignant potential...
September 2016: Urology Case Reports
Y Uehara, H Shimizu, K Ohtani, T Tsuchiya, H Takahashi, N Sato, Y Shimomura, M Mori
The activation of sympathetic activity which is related to hypothalamic corticotropin-releasing hormone (CRH) release may modulate ob gene expression in vivo. In the present studies, we determined changes in circulating leptin concentrations by modulating sympathetic activity by adrenalectomy, corticosterone supplement, hypothalamic CRH infusion and starvation in male Wistar rats. Bilateral adrenalectomy significantly inhibited serum leptin concentrations and the continuous supplement of corticosterone by silastic tube restored the reduction of serum leptin concentrations in adrenalectomized rats...
1998: Nutritional Neuroscience
Ajay V Maker, Vijay K Maker
INTRODUCTION: Minimally invasive adrenalectomy may be associated with reduction in postoperative pain, morbidity, and length of stay and, as a result, has become a preferred approach for many adrenal tumors. Left-sided adrenal tumors, however, are particularly challenging to address in the morbidly obese patient due to difficulties in maintaining exposure and dissection. The robotic platform offers instruments with greater degrees of freedom that aid in retraction and dissection, especially of the adrenal vein, but fixed patient positioning and the large distance needed between patient ports to avoid arm collisions can be restrictive in patients with a large amount of retroperitoneal fat and small working space...
July 7, 2016: Surgical Endoscopy
Daniel A Wollin, Ganesh Sivarajan, Pratibha Shukla, Jonathan Melamed, William C Huang, Herbert Lepor
Retroperitoneal schwannoma is a rare tumor that is often misdiagnosed as malignancy due to a concerning appearance on cross-sectional imaging. Pathology and immunohistochemistry form the gold standard for diagnosis; as such, local excision is the treatment of choice for this disease. We present two cases of juxta-adrenal ancient schwannoma that were treated with adrenalectomy and discuss the current literature regarding this entity.
2015: Reviews in Urology
Amanda E Sautter, Steven C Cunningham, Gopal C Kowdley
Laparoscopic adrenalectomy is increasingly employed for removal of adrenal masses. As adrenal tumors increase in size, however, their malignant potential likewise increases, raising concerns for the use of laparoscopy for removal of large adrenal malignancies. We present a systematic review of the use of laparoscopic adrenalectomy of large malignant tumors. A PubMed search was undertaken and two independent reviewers reviewed the manuscripts and a methodological index for nonrandomized studies score was determined...
May 2016: American Surgeon
Radu Mihail Mirica, Octav Ginghina, Gabriela Zugravu, Razvan Iosifescu, Mihai Ionescu, Anca Ichiman, Adrian Rosca, Alexandra Mirica, Nicolae Iordache, Rubin Munteanu
INTRODUCTION: Paragangliomas are rare neuroendocrine tumors that arise from the extra-adrenal autonomic paraganglia, which can derive from either parasympathetic or sympathetic paraganglia and are closely related to pheochromocytomas. CASE REPORT: We present the case of a young male patient of 37 years old, who was admitted for hypertensive crisis and palpitations. His medical history included medically controlled type 2 diabetes mellitus, (diagnosed 10 months ago), Hepatitis A...
March 2016: Chirurgia
Sandeep Singh Lubana, Navdeep Singh, Sandeep S Tuli, Barbara Seligman
BACKGROUND: Uterine papillary serous carcinoma (UPSC) is a highly malignant form of endometrial cancer with a high propensity for metastases and recurrences even when there is minimal or no myometrial invasion. It usually metastasizes to the pelvis, retroperitoneal lymph nodes, upper abdomen, and peritoneum. However, adrenal metastases from UPSC is extremely rare. Here, we present a case of UPSC with adrenal metastasis that occurred 6 years after the initial diagnosis. CASE REPORT: A 60-year-old woman previously diagnosed with uterine papillary serous carcinoma at an outside facility presented in September of 2006 with postmenopausal bleeding...
2016: American Journal of Case Reports
Weimin Yu, Ganpu Zhou, Fan Cheng, Ting Rao, Xiaobin Zhang, Huijun Qian, Stéphane Larré
The purpose of this study was to evaluate the safety and efficacy of the modified lateral transperitoneal (MLTP) approach in comparison with the traditional lateral transperitoneal (LTP) and lateral retroperitoneal (LRP) approach. From January 2008 to December 2012, 287 patients underwent laparoscopic adrenalectomy, and the MLTP, LTP and LRP approaches were used in 93, 96 and 98 patients. The patients' demographics and surgical outcomes from the three approaches were reviewed and compared. There were no significant differences in the general demographic or postoperative recovery variables among the three groups...
December 2015: Indian Journal of Surgery
Nicola Pavan, Riccardo Autorino, Hak Lee, Francesco Porpiglia, Yinghao Sun, Francesco Greco, S Jeff Chueh, Deok Hyun Han, Luca Cindolo, Matteo Ferro, Xiang Chen, Anibal Branco, Paolo Fornara, Chun-Hou Liao, Akira Miyajima, Iason Kyriazis, Marco Puglisi, Cristian Fiori, Bo Yang, Guo Fei, Vincenzo Altieri, Byong Chang Jeong, Francesco Berardinelli, Luigi Schips, Ottavio De Cobelli, Zhi Chen, Georges-Pascal Haber, Yao He, Mototsugu Oya, Evangelos Liatsikos, Luis Brandao, Benjamin Challacombe, Jihad Kaouk, Ithaar Darweesh
OBJECTIVE: To evaluate contemporary international trends in the implementation of minimally invasive adrenalectomy and to assess contemporary outcomes of different minimally invasive techniques performed at urologic centers worldwide. METHODS: A retrospective multinational multicenter study of patients who underwent minimally invasive adrenalectomy from 2008 to 2013 at 14 urology institutions worldwide was included in the analysis. Cases were categorized based on the minimally invasive adrenalectomy technique: conventional laparoscopy (CL), robot-assisted laparoscopy (RAL), laparoendoscopic single-site surgery (LESS), and mini-laparoscopy (ML)...
October 2016: World Journal of Urology
Dehong Cao, Yingchun Hu, L I Li, Wei Xiao, Qiang Wei
Extramedullary plasmacytoma (EMP) is a rare malignant tumor that is characterized by a malignant plasma cell neoplasm. Such neoplasms in human immunodeficiency virus (HIV)-infected patients are extremely rare. To the best of our knowledge, the present study describes the first case of a solitary adrenal EMP in a patient with HIV. A 35-year-old male who had been diagnosed with HIV 3 months previously presented with a 2-week history of intermittent right flank pain. Abdominal computed tomography revealed a soft-tissue density mass in the right adrenal gland area...
January 2016: Oncology Letters
Hidenori Zakoji, Tatsuya Miyamoto, Hideyasu Inuzuka, Norifumi Sawada, Masayuki Takeda
A 71-year-old woman with a right adrenal mass detected by computed tomography was referred to our institution. Before 33 months, she had undergone a radical heminephrectomy for an 11-cm renal cell carcinoma (RCC) in the left moiety of a horseshoe kidney. The adrenal tumor was diagnosed as the metastasis of RCC. The tumor was subsequently removed in a laparoscopic adrenalectomy by a retroperitoneal approach. Pathologic examination revealed the mass to be the adrenal metastasis of RCC. To our knowledge, this is the initial report of a laparoscopic adrenalectomy for the adrenal metastasis of renal cell carcinoma arising from a horseshoe kidney...
July 2014: Urology Case Reports
Chisato Okajima, Hiroyuki Fukunari, Yudai Yamamoto, Tomotaka Kato, Keisuke Nakao, Kenji Shitara, Tetsuji Hayashi, Yoichi Ajioka
A 72-year-old man underwent Miles' operation for rectal cancer. Histological findings showed moderately differentiated adenocarcinoma, a, ly0, v1, n0, stage Ⅱ(ly0, v1). Five months later, left lateral segmentectomy and left adrenalectomy were performed owing to the metastasis of the rectal cancer to the liver and adrenal glands. Two years after these operations, left nephrectomy was performed for retroperitoneal recurrence around the left kidney. All resected specimens showed metastatic adenocarcinoma derived from the rectal cancer...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Ramon Vilallonga, Carles Zafon, José Manuel Fort, Jordi Mesa, Manel Armengol
INTRODUCTION: Data on specific abdominal surgery and Cushing's syndrome are infrequent and are usually included in the adrenalectomy reports. Current literature suggests the feasibility and reproducibility of the surgical adrenalectomies for patients diagnosed with non-functioning tumours and functioning adrenal tumours including pheochromocytoma, Conn's syndrome and Cushing's syndrome. DISCUSSION: Medical treatment for Cushing's syndrome is feasible but follow-up or clinical situations force the patient to undergo a surgical procedure...
2014: SAGE Open Medicine
Dongliang Hu, Xinghuan Wang, Tongzu Liu
OBJECTIVES: To compare our modified retroperitoneoscopic adrenalectomy with the standard procedure. METHODS: A total of 68 patients underwent modified retroperitoneoscopic adrenalectomy. Simultaneously, another 23 patients were treated using the standard procedure. The demographic data and perioperative outcomes of the patients were obtained for statistical analysis. RESULTS: No significant differences in age, evaluated blood loss, oral intake, and hospital stay were observed...
February 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
G Conzo, E Tartaglia, C Gambardella, D Esposito, V Sciascia, C Mauriello, A Nunziata, G Siciliano, G Izzo, F Cavallo, G Thomas, M Musella, L Santini
In the last decades, minimally invasive transperitoneal laparoscopic adrenalectomy has become the standard of care for surgical resection of the adrenal gland tumors. Recently, however, adrenalectomy by a mininvasive retroperitoneal approach has reached increasingly popularity as alternative technique. Short hospitalization, lower postoperative pain and decrease of complications and a better cosmetic resolution are the main advantages of these innovative techniques. In order to determine the better surgical management of adrenal neoplasms, the Authors analyzed and compared the feasibility and the postoperative complications of minimally invasive adrenalectomy approaches...
April 2016: International Journal of Surgery
Chaopeng Tang, Zhenyu Xu, Xiaoming Yi, Ping Li, Haowei He, Zhengyu Zhang, Tianyi Shen, Xiang Liu, Yulin Zhou, Wenquan Zhou
OBJECTIVE: It has been demonstrated that fast track (FT) surgery can accelerate the recovery of the patients in limited urologic procedures, but there are no reports regarding FT surgery within retroperitoneal laparoscopic adrenalectomy (RLA). This study aims at evaluating the impact of FT surgery on recovery after RLA. METHODS: One hundred patients in our centre are randomly assigned to FT group and conventional group. The patients who have undergone RLA receive either conventional care or an FT recovery program...
2015: International Journal of Clinical and Experimental Medicine
Hengping Li, Tao Zhao, Qiang Wei, Haichao Yuan, Dehong Cao, Pengfei Shen, Liangren Liu, Hao Zeng, Ni Chen
BACKGROUND: At present, the primary mature cystic teratoma in the adrenal gland is extremely rare in adults, according to the literature. In addition, a completely retroperitoneoscopic resection of mature cystic teratomas has been reported only in two cases. CASE PRESENTATION: We report a case of a large mature cystic teratoma with a regular margin in the right adrenal gland. Three months before surgery, abdominal enhanced computer tomography revealed a 5.7 × 4...
2015: World Journal of Surgical Oncology
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