Laparoscopic Adrenalectomy: A Report of the First Experience in Iran
<p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Purpose:</strong> To report the first exp...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
2004-06-01
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| Series: | Urology Journal |
| Subjects: | |
| Online Access: | http://www.urologyjournal.org/index.php/uj/article/view/331/326 |
| _version_ | 1811245067398021120 |
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| author | MahmoudReza Moradi Amir Mohsen Ziaee Hassan Ahmadnia Nasser Simforoosh |
| author_facet | MahmoudReza Moradi Amir Mohsen Ziaee Hassan Ahmadnia Nasser Simforoosh |
| author_sort | MahmoudReza Moradi |
| collection | DOAJ |
| description | <p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Purpose:</strong> To report the first experience in laparoscopic adrenalectomy and to study its efficacy and safety in the treatment of different adrenal diseases.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Materials and Methods:</strong> From March 1997 to July 2001, 11 patients underwent laparoscopic adrenalectomy through transperitoneal approach, five of whom were males and 6 were females. Their mean age was 35.5 (range 28 to52) years. Lesion was located on the left side in 6 patients and on the right side in 5. All necessary evaluations were done preoperatively including CT scan, MRI, MIBG scan, and endocrine tests such as ACTH, cortisol, mineralocorticoid, 17-hydroxyprogesterone, and urinary VMA. Three (5, 10, and 12 mm) trocars were used in left laparoscopic adrenalectomy and three or four (12, 10, 5, and 5 mm) trocars were applied in right laparoscopic adrenalectomy. All the patients were followed up for three months with physical examination and paraclinical tests. </span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Results:</strong> Mean operative time (including anesthesia and surgery) was 205 ± 65.95 (range 130 to 310) minutes. No significant difference was seen between the operative time in the left side and the right side adrenalectomy (P = 0.5). Mean hospitalization was 5.54 ± 3.4 (range 3 to15) days. Mean size of mass was 5.45 ± 1.7 (range 2 to 8) cm. Blood transfusion was performed in 2 patients and open surgery was conducted for one because of extensive adhesions. No mortality was reported. During a 3-month follow-up, hormonal tests and blood pressure were normal for all the patients, with no medical treatment being required.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Conclusion:</strong> Our study demonstrated that tra<span style="mso-bidi-language: FA;">n</span>speritoneal laparoscopic adrenalectomy is an effective and safe approach in the treatment of adrenal masses with the least morbidity.</span></span></p> |
| first_indexed | 2024-04-12T14:34:44Z |
| format | Article |
| id | doaj.art-d7549b5658ff4c77aaae0fbecc58ca20 |
| institution | Directory Open Access Journal |
| issn | 1735-1308 1735-546X |
| language | English |
| last_indexed | 2024-04-12T14:34:44Z |
| publishDate | 2004-06-01 |
| publisher | Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Urology Journal |
| spelling | doaj.art-d7549b5658ff4c77aaae0fbecc58ca202022-12-22T03:29:09ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2004-06-01127781Laparoscopic Adrenalectomy: A Report of the First Experience in IranMahmoudReza MoradiAmir Mohsen ZiaeeHassan AhmadniaNasser Simforoosh<p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Purpose:</strong> To report the first experience in laparoscopic adrenalectomy and to study its efficacy and safety in the treatment of different adrenal diseases.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Materials and Methods:</strong> From March 1997 to July 2001, 11 patients underwent laparoscopic adrenalectomy through transperitoneal approach, five of whom were males and 6 were females. Their mean age was 35.5 (range 28 to52) years. Lesion was located on the left side in 6 patients and on the right side in 5. All necessary evaluations were done preoperatively including CT scan, MRI, MIBG scan, and endocrine tests such as ACTH, cortisol, mineralocorticoid, 17-hydroxyprogesterone, and urinary VMA. Three (5, 10, and 12 mm) trocars were used in left laparoscopic adrenalectomy and three or four (12, 10, 5, and 5 mm) trocars were applied in right laparoscopic adrenalectomy. All the patients were followed up for three months with physical examination and paraclinical tests. </span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Results:</strong> Mean operative time (including anesthesia and surgery) was 205 ± 65.95 (range 130 to 310) minutes. No significant difference was seen between the operative time in the left side and the right side adrenalectomy (P = 0.5). Mean hospitalization was 5.54 ± 3.4 (range 3 to15) days. Mean size of mass was 5.45 ± 1.7 (range 2 to 8) cm. Blood transfusion was performed in 2 patients and open surgery was conducted for one because of extensive adhesions. No mortality was reported. During a 3-month follow-up, hormonal tests and blood pressure were normal for all the patients, with no medical treatment being required.</span></span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; direction: ltr; unicode-bidi: embed; text-align: left;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong>Conclusion:</strong> Our study demonstrated that tra<span style="mso-bidi-language: FA;">n</span>speritoneal laparoscopic adrenalectomy is an effective and safe approach in the treatment of adrenal masses with the least morbidity.</span></span></p>http://www.urologyjournal.org/index.php/uj/article/view/331/326adrenal neoplasmlaparoscopyadrenalectomy |
| spellingShingle | MahmoudReza Moradi Amir Mohsen Ziaee Hassan Ahmadnia Nasser Simforoosh Laparoscopic Adrenalectomy: A Report of the First Experience in Iran Urology Journal adrenal neoplasm laparoscopy adrenalectomy |
| title | Laparoscopic Adrenalectomy: A Report of the First Experience in Iran |
| title_full | Laparoscopic Adrenalectomy: A Report of the First Experience in Iran |
| title_fullStr | Laparoscopic Adrenalectomy: A Report of the First Experience in Iran |
| title_full_unstemmed | Laparoscopic Adrenalectomy: A Report of the First Experience in Iran |
| title_short | Laparoscopic Adrenalectomy: A Report of the First Experience in Iran |
| title_sort | laparoscopic adrenalectomy a report of the first experience in iran |
| topic | adrenal neoplasm laparoscopy adrenalectomy |
| url | http://www.urologyjournal.org/index.php/uj/article/view/331/326 |
| work_keys_str_mv | AT mahmoudrezamoradi laparoscopicadrenalectomyareportofthefirstexperienceiniran AT amirmohsenziaee laparoscopicadrenalectomyareportofthefirstexperienceiniran AT hassanahmadnia laparoscopicadrenalectomyareportofthefirstexperienceiniran AT nassersimforoosh laparoscopicadrenalectomyareportofthefirstexperienceiniran |