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Laparoscopic adrenalectomy by A. Assalia; M. Gagner is a Medicine article available to read on EtoBox.
What is Laparoscopic adrenalectomy about?
## Abstract ## Background Laparoscopic adrenalectomy (LA) has become the procedure of choice for small benign lesions. Compared with open adrenalectomy (OA), it appears to achieve superior results in terms of recovery, cosmesis and morbidity. ## Methods A Medline literature search (PubMed database, 1990–2003) was undertaken to identify relevant English language papers. Studies comparing LA with OA were categorized according to their level of evidence. Variables of outcome were analysed systematically for various adrenal pathologies. ## Results No prospective randomized studies comparing LA with OA were identified. According to 20 comparative case–control studies (level 3b) and many case-series reports (level 4), the results of LA were reproducible and it has consistently been associated with faster recovery and lower morbidity than OA. The clinical outcome in hormonally active lesions was similar. The lateral transabdominal approach was the laparoscopic technique of choice; it was practised by 78·6 per cent of surgeons. Lesion sizes of 10–12 cm were cited as the upper limit for LA in many large series. Experience of 70 malignancies demonstrated the feasibility of LA, with short-ter
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- Author
- A. Assalia; M. Gagner
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square; Oxford University Press (OUP) (ISSN 0007-1323)
- Published
- 2004
- Language
- EN
- Field
- Medicine (Health Sciences)