Posterior retroperitoneoscopic partial adrenalectomy using ultrasonic scalpel for aldosterone-producing adenoma.
BACKGROUND
Posterior retroperitoneoscopic adrenalectomy has become a standard procedure, but removal of the entire gland is not necessary in all cases.


METHODS
We performed 10 posterior retroperitoneoscopic partial adrenalectomies for aldosterone-producing adenoma (APA) using an ultrasonic scalpel to divide the normal adrenal gland and the adenoma.


RESULTS
The mean operation time and blood loss were 154 (110-231) minutes and 11 (5-32) mL, respectively. The mean weight of removed tissue was 5.7 g (2.3-10.2 g). Subcutaneous emphysema occurred in three patients, but there were no serious operative complications.


CONCLUSIONS
Posterior retroperitoneoscopic partial adrenalectomy using the ultrasonic scalpel may be a valuable treatment for typical solitary APA.
Sasagawa
I
I
Department of Urology, Yamagata University School of Medicine, Japan. isasaga@med.id.yamagata-u.ac.jp
Suzuki
H
H
Izumi
T
T
Suzuki
Y
Y
Tateno
T
T
Nakada
T
T
D000236:Adenoma / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D000368:Aged; D000450:Aldosterone / Q000378:metabolism*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D012187:Retroperitoneal Space; D013525:Surgical Instruments; D014464:Ultrasonic Therapy / Q000295:instrumentation*
D000450:Aldosterone