AdrenalectomyAdrenal glandsRetroperitonealOpenPatientsRetroperitoneal approachLaparoscopic adrenalectomyNephrectomyCompared to laparoscopicRoboticOutcomesPosteriorLesionsOperativeMinimally invasiveLateralTechniqueLumbarKidneySurgicalCasesSizeIncreasinglyTechniquesSurgeonTimeTreatmentOperationSurgeryDirect
Adrenalectomy9
- However, an alternative approach is possible called retroperitoneoscopic adrenalectomy (PRA), where the adrenal glands are reached through small cuts made in the back. (wikipedia.org)
- A 2018 systematic review suggests that laparoscopic retroperotenial adrenalectomy appears to reduce late morbidity, time to oral fluid or food intake and time to ambulation when compared to laparoscopic transperitoneal adrenalectomy, however there is uncertainty about these effects due to very low-quality evidence. (wikipedia.org)
- A Canadian centre's experience with prone retroperitoneoscopic adrenalectomy. (qxmd.com)
- Thus, it has become the preferred approach at our centre for minimally invasive adrenalectomy. (qxmd.com)
- Retroperitoneal laparscopic adrenalectomy (RPLA) or transperitoneal laparoscopic adrenalectomy (TPLA) was found to be safe and effective for large tumours (≥5 cm) when compared to open adrenalectomy (OA). (amegroups.org)
- [ 1 ] laparoscopic adrenalectomy has become increasingly used and now has become the technique of choice for most benign adrenal lesions because of the decreased blood loss, lower morbidity, shorter hospitalization, faster recovery, and overall cost-effectiveness in comparison with the open approach. (medscape.com)
- Because of the anatomic differences between the right and left adrenal glands, most notably the different venous drainage patterns, surgical approaches are somewhat different for right and left adrenalectomy. (medscape.com)
- [ 18 , 19 ] Until more robust data are available showing the efficacy of laparoscopic adrenalectomy in the setting of adrenal carcinoma, an open approach is recommended. (medscape.com)
- The Value of Intraoperative Parathyroid Hormone Monitoring in Primary Hyperparathyroidism Cases that are Localized -- Transperitoneal Versus Retroperitoneal Laparoscopic Adrenalectomy -- Bilateral Adrenalectomy Versus Medical Management for Cushing's Syndrome with Bilateral Adrenal Hyperplasia -- Routine Screening for Primary Hyperaldosteronism in Hypertensive Patients: Yes or No? (nshealth.ca)
Adrenal glands1
- Traditionally, this has been through the laparoscopic transperitoneal approach (LTA) where the small cuts are made in the abdomen to reach the adrenal glands through the peritoneum from the front-side. (wikipedia.org)
Retroperitoneal1
- In patients with previous abdominal surgery, a laparoscopic retroperitoneal approach may be beneficial. (medscape.com)
Open1
- Traditionally, patients with suspected or known primary adrenal carcinoma were recommended to undergo open surgery, given the aggressive nature of the disease and the improved ability to perform an en bloc resection. (medscape.com)
Patients1
- Relative contraindications to the laparoscopic transperitoneal approach include patients who have had extensive previous abdominal surgery and pregnant patients. (medscape.com)
Retroperitoneal approach5
- A retroperitoneal approach to the left kidney was performed and RFA of the two renal tumors completed using sonographic guidance. (canjurol.com)
- The procedure can be performed using either the transperitoneal or retroperitoneal approach. (e-urol-sci.com)
- [ 1 ] LN may be performed by a transperitoneal or retroperitoneal approach for the treatment of both benign and malignant conditions. (medscape.com)
- Urologists have historically favored a retroperitoneal approach (RLN) when using open surgical interventions for both renal and adrenal lesions. (medscape.com)
- Using a retroperitoneal approach has certain advantages over a traditional laparoscopic nephrectomy, which include prompt access to the great vessels and renal vasculature without requiring medial mobilization of solid viscus or bowel. (medscape.com)
Laparoscopic adrenalectomy2
- [ 19 , 20 ] The 2013 guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) recommended an open approach until more robust data confirm the efficacy of laparoscopic adrenalectomy for adrenal carcinoma. (medscape.com)
- Some authors maintain that 6 cm need not be considered an upper size limit for transperitoneal laparoscopic adrenalectomy and that lesions larger than this can be safely and effectively treated with this procedure. (medscape.com)
Nephrectomy10
- The robotic approach to renal surgery, particularly partial nephrectomy, has some inherent challenges, and some familiarity with the da Vinci robotic system is necessary. (medscape.com)
- Laparoendoscopic single-site donor nephrectomy (LESS-DN) is s an evolutionary minimally invasive surgery, which could be performed by transperitoneal or retroperitoneal approaches. (e-urol-sci.com)
- We present a retrospective analysis of our single-institution donor nephrectomy series comparing the transperitoneal to retroperitoneal LESS-DN regarding operative outcomes. (e-urol-sci.com)
- 2. Is laparoendoscopic single-site surgery a viable approach for radical nephrectomy with renal vein thrombus? (nih.gov)
- 12. Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy. (nih.gov)
- 16. External validation of a model for tailoring the operative approach to minimally invasive partial nephrectomy. (nih.gov)
- 17. Prospective, randomized controlled study: transperitoneal laparoscopic versus retroperitoneoscopic radical nephrectomy. (nih.gov)
- In addition, this approach helps control and efficiently drain any urinary leakage immediately after renal reconstructive procedures (eg, pyeloplasty , anatrophic nephrolithotomy with infundibuloplasty, partial nephrectomy ). (medscape.com)
- This approach is particularly suited for radical nephrectomy. (medscape.com)
- In general, the indications for an extraperitoneal laparoscopic nephrectomy are similar to those for the intraperitoneal approach. (medscape.com)
Compared to laparoscopic1
- Since that time, at least one multi-institutional survey has demonstrated superiority of the robotic approach when compared to laparoscopic for outcomes of blood loss, hospital stay and a substantially shorter warm ischemia time, while maintaining equivalence in positive margin rate, operative time and complications. (medscape.com)
Robotic1
- posterior retroperitoneal, horizontal retroperitoneal, laparoscopic transperitoneal, and robotic strategy), your Bafilomycin A1 lateral retroperitoneal tactic represents the standard way to execute this type of medical procedures, also with minimally invasive methods. (phosphorylase-signal.com)
Outcomes1
- Retroperitoneal LESS-DN results in similar perioperative outcomes as transperitoneal LESS-DN without compromising donor safety and providing a faster operation time, shorter LOS, and a trend toward a shorter WIT. (e-urol-sci.com)
Posterior1
- Generously illustrated, various surgical approaches to the cervical, thoracic and lumbar spine are clearly enumerated and described, including anterior, lateral, and posterior approaches and the worldwide movement toward the use of tubular retractors for a multitude of approaches. (nshealth.ca)
Lesions2
- [ 6 , 7 ] His initial clinical series of RLNs performed in a series of Indian subjects defined both a safe and effective endoscopic approach to renal lesions. (medscape.com)
- It is now the technique of choice for most benign adrenal lesions because of the decreased blood loss, lower morbidity, shorter hospitalization, faster recovery, and overall cost-effectiveness in comparison with the open approach. (medscape.com)
Operative1
- For the novice surgeon, it is useful to use an approach that minimizes the likelihood of disorientation, and the authors feel that positioning the operative arms on the long axis of the torso avoids this risk and allows unhampered vision in the caudal direction. (medscape.com)
Minimally invasive1
- Minimally invasive approaches to the management of renal tumors are being studied intensively in urology. (canjurol.com)
Lateral1
- Anterior Cervical Approaches to the Spine -- Transoral Approach to C1-C2 -- Transoral-Transpharyngeal Approach to the Cervical Spine -- Ventral Approaches to the Clivus, C1 and C2 -- Anterior Medial Approach to C1, C2, and C3 -- Anterior Lateral Approach to the Upper Cervical Spine -- Anterior Medial Approach to the Midcervical Spine -- Lateral Approach to the Cervical Spine (Verbiest). (nshealth.ca)
Technique1
- However, during the past two decades, laparoscopic radical nephroureterectomy (LRNU) has been proposed as an alternative technique to the open approach and has become increasingly accepted for UTUC treatment [ 4 ]. (biomedcentral.com)
Lumbar1
- Operations were carried out using classic techniques via lumbar approach in 146 cases (86.4%) or videoscopic techniques via retroperitoneal or transperitoneal approaches (13.6%).Results. (edu.pl)
Kidney1
- Both approach methods may be safe and effective procedures for living kidney transplantation. (e-urol-sci.com)
Surgical1
- Now is its revised and expanded third edition, including nine new chapters, this step-by-step, state-of-the-art procedural manual covers over 50 unique surgical approaches for injuries and conditions of the spine. (nshealth.ca)
Cases2
- An invasive approach such as an heminephrectomy (71.6%) was required in the majority of cases. (bvsalud.org)
- In those cases, initial retroperitoneal renal vasculature control with subsequent conversion to a transperitoneal dissection for tumor mobilization and specimen extraction is advantageous. (medscape.com)
Size2
- The two approaches were compared for the operation time, blood loss, warm ischemia time (WIT), postoperative pain, length of stay (LOS), postoperative wound size, postoperative pain, and the postoperative renal function for twelve months retrospectively. (e-urol-sci.com)
- The postoperative wound size (47.5 vs. 75 mm, P = 0.038) was substantially smaller in the transperitoneal group. (e-urol-sci.com)
Increasingly1
- [ 1 ] this approach has become increasingly used. (medscape.com)
Techniques1
- no single approach has been shown superior, although direct entry techniques are associated with a decrease in failed entry, omental injury, and extraperitoneal insufflation compared to Veress needle insertion in a meta-analysis. (medscape.com)
Surgeon1
- Correlation of the tumor location on imaging studies to the bony anatomy and planned approach may suggest modification of this scheme as appropriate to give the surgeon unfettered access to the renal hilum and tumor. (medscape.com)
Time1
- Operating time (257 vs. 180 min, P = 0.016) and LOS (6.5 vs. 5 days, P = 0.013) were significantly longer in the transperitoneal group. (e-urol-sci.com)
Treatment2
- In this article, many of us show the process associated with retroperitoneoscopic nephroureterectomy within youngsters, credit reporting the exposure to it in the past Twenty years.Antisense oligonucleotide (ASO) solutions existing a promising disease-modifying treatment method for exceptional nerve ailments (RNDs). (phosphorylase-signal.com)
- In response to this gap, n-of-1 ASO treatment method approaches are usually concentrating on ultrarare or even exclusive variants. (phosphorylase-signal.com)
Operation1
- Prior abdominal operation is not necessarily a contraindication to this procedure, but access should be approached with regard for previous operation(s) by an experienced team. (medscape.com)
Surgery1
- Traditionally, open surgery was recommended for patients with suspected or known primary adrenal carcinoma because of the aggressive nature of the disease and the improved ability to perform an en-bloc resection. (medscape.com)
Direct1
- the direct visual placement approach can be used without prior insufflation (see video below). (medscape.com)