Technical improvements in laparoscopic adrenalectomy.
Laparoscopic adrenalectomy has been believed to be the most difficult operation because of the deep location of the adrenals but also because of the lack of standard technology and specific instruments. Herein, we introduce the technique using flexible electron scope (EL2-TF2, Fujinon) and laparoscopic coagulation shears (LCS; Harmonic Scalpel). Use of these two instruments provides a better view on the monitors and faster completion of surgery because of easy dividing procedures of abundant fatty tissues around the adrenal. Our results show shorter operating time compared to the group using conventional instruments. These results reflect an improvement of quality of life of the patients with functional and/or non-functional adenomas in the adrenals.
Tazaki
H
H
Department of Urology, New York Medical College, Valhalla 10595, USA.
Baba
S
S
Murai
M
M
D000236:Adenoma / Q000601:surgery; D000273:Adipose Tissue / Q000601:surgery; D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery; D000315:Adrenalectomy / Q000295:instrumentation / Q000379:methods*; D000328:Adult; D000368:Aged; D002648:Child; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D013677:Medical Laboratory Science / Q000295:instrumentation / Q000379:methods; D008875:Middle Aged; D011788:Quality of Life; D014464:Ultrasonic Therapy / Q000295:instrumentation; D014732:Vibration / Q000627:therapeutic use