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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY PowerPoint Presentation

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Description : Check out this medical presentation on Endocrine Surgery, which is titled "TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY", to know about transperitoneal laparoscopic adrenalectomy.

Tags : Endocrine Surgery, transperitoneal laparoscopic adrenalectomy

Published on : Jul 20, 2021 | Views : 2384 | Downloads : 0

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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE Lúcia Carvalho, Joana Magalhães, Ana Marta Pereira, José Reis, Marta Guimarães, Rui Almeida, Artur Trovão Lima, Mário Nora Interna de Formação Específica de Cirurgia GeralCentro Hospitalar de Entre o Douro e Vouga
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE INDEX Introduction Purpose Methods Results Conclusion References
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE INTRODUCTION Adrenal incidentalomas are present in almost 6% of the population. The prevalence of adrenal tumours increases with age. The endocrine analysis and imaging studies are useful in the evaluation of an adrenal mass. The indications for surgery are a functioning nodule, a potentially malignant lesion or lesions with 6 or more cm of diameter. Surgical treatment should also be considered in lesions with 4-6 cm. Laparoscopic adrenalectomy is the preferred approach to adrenal gland tumours.
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PURPOSE TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE Evaluate the results of 10 years’ experience of transperitoneal laparoscopic adrenalectomy.
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METHODS Retrospective Observacional study Selection criteria: - Patients who had undergone adrenalectomy between January 2009 and December 2019 for both benign and malignant diseases either with open or laparoscopic approaches at our department of general surgery
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METHODS Data were collected from hospital records. Demographic details, clinical and operative data were analyzed to evaluate the perioperative and functional outcomes of transperitoneal laparoscopic adrenalectomy. Postoperative complications were graded according to the Clavien–Dindo classification. Data descriptive analysis were performed using IBM SPSS Statistics software.
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE RESULTS Data were collected from hospital records. Demographic details, clinical and operative data were analyzed to evaluate the perioperative and functional outcomes of transperitoneal laparoscopic adrenalectomy. Postoperative complications were graded according to the Clavien–Dindo classification. Data descriptive analysis were performed using IBM SPSS Statistics software. Age Sex Diagnosis Size of the lesion Indication for surgery Surgical approach Surgery results Postoperative hospital stay 30-day postoperative morbidity
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RESULTS Patients underwent adrenalectomy January, 2009 December, 2019
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RESULTS Patients underwent adrenalectomy January, 2009 December, 2019 Exclusion criteria: Laparotomic approach Bilateral adrenalectomy Another procedures in the same operative time.
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RESULTS Patients underwent adrenalectomy January, 2009 December, 2019 26 patients Exclusion criteria: Laparotomic approach Bilateral adrenalectomy Another procedures in the same operative time.
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE RESULTS Patients’ demographic parameters and preoperative findings
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE RESULTS Surgical Data
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE RESULTS Short-term Postoperative Outcomes SD – Standard deviation; CD – Clavien Dindo classification.
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RESULTS TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE Histopathological Examination
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE CONCLUSION Laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. Transperitoneal laparoscopic adrenalectomy is a safe and an effective option, producing similar results as retroperitoneal approach when performed by experienced surgeons. Transperitoneal laparoscopic adrenalectomy is a minimally invasive approach to treat adrenal tumours with low morbidity and the advantages of minimally approach such as less postoperative pain and reduced hospitalization.
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REFERENCES TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE Yu-Li Jiang et al., Comparison of the retroperitoneal versus Transperitoneal laparoscopic Adrenalectomy perioperative outcomes and safety for Pheochromocytoma: a meta-analysis, BMC Surgery, Jan 2020 Fajardo R, García N, Díaz F, Transperitoneal laparoscopic adrenalectomy for the resection of large size pheochromocytoma: Case report and literature review, International Journal of Surgery Case Reports, may 2020 Arezzo A et al., Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults, Cochrane Database Syst Rev., Dec 2018 Meier L, Zulewski H, Oertli D, Transperitoneal Laparoscopic Adrenalectomy: Assessment of the Surgical Learning Curve, ISRN Minimally Invasive Surgery, Sept 2013 Tuncel A et al., Transperitoneal laparoscopic adrenalectomy: five years’ experience with 35 patients, Turjisk Journal of Urology, Dec 2013
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TRANSPERITONEAL LAPAROSCOPIC ADRENALECTOMY: 10 YEARS’ SINGLE-CENTER EXPERIENCE Lúcia Carvalho, Joana Magalhães, Ana Marta Pereira, José Reis, Marta Guimarães, Rui Almeida, Artur Trovão Lima, Mário Nora Interna de Formação Específica de Cirurgia GeralCentro Hospitalar de Entre o Douro e Vouga