Laparoscopic adrenalectomy: posterior approach.
Adrenalectomy for benign adrenal diseases is currently performed by transperitoneal laparoscopy. The transperitoneal approach, however, invades the intraperitoneal cavity, and may cause injury to the abdominal organs. The posterior lumbar approach allows direct access to the main adrenal vascular supply before the gland is manipulated. Retroperitoneoscopic adrenalectomy by this approach is technically feasible and most effective as regard to the simplicity of vascular control. The operating time, perioperative morbidity and cost have been reduced with this approach.
Department of Urology, Kitasato University, School of Medicine, Sagamnihara-shi, Kanagawa, Japan.
S
S
Baba
D000315:Adrenalectomy / Q000191:economics / Q000379:methods*; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000191:economics / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space / Q000601:surgery