This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Surgery  • Surgical Interventions  • Endocrine Surgery  • Endoscopy/ Minimally Invasive Surgery  • Alert me on articles by topic  Social Bookmarking   What's this?

Mohammed M. H. Kalan, MD, FRCS; Gregory Tillou, MD; Aaron Kulick, MD; Christopher S. Wilcox, MD, PhD; Alvaro I. Garcia, MD

Arch Surg. 2004;139:1243-1247.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

As is the case with many minimally invasive surgical techniques, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal tumors. Several techniques are in use today. In this article we describe 1 such technique, highlight the common pitfalls encountered by the surgeon, and discuss how to avoid them.

Studies have shown a steady and significant decrease in the frequency and number of complications with the laparoscopic procedure when compared with the open technique.¹ However, critical steps of the minimal-access operation may be accompanied by severe pitfalls for the unwary surgeon. This article highlights these complications and suggests ways to prevent them.

BACKGROUND

Gagner et al¹ first described laparoscopic adrenalectomy in 1992. By 2000, more than 1000 cases involving this minimally invasive procedure had been reported . . . [Full Text of this Article]

PREOPERATIVE PREPARATION

LATERAL TRANSPERITONEAL APPROACH

POSITIONING

PITFALLS

LEFT ADRENALECTOMY

PITFALLS

RIGHT ADRENALECTOMY

PITFALLS

CONCLUSIONS

AUTHOR INFORMATION

Author Affiliations: Department of Surgery, Georgetown University Medical Center (Dr Kalan), and the Division of Nephrology and Hypertension (Drs Kulick and Wilcox), Cardiovascular-Kidney Institute (Dr Wilcox), and Department of Surgery (Dr Garcia), Georgetown University School of Medicine (Dr Tillou), Washington, DC.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?