Skip to main content
SpringerLink
Log in

Retroperitoneoskopische Adrenalektomie

  • Chapter
Minimalinvasive Viszeralchirurgie

Zusammenfassung

Seit ihrer Erstbeschreibung 1992 hat sich die minimalinvasive Nebennierenchirurgie rasch entwickelt. Aktuell werden 2 minimalinvasive Techniken über einen rein retroperitoneoskopischen Zugang durchgeführt. Die Indikationen für diese retroperitoneoskopische Adrenalektomie lehnen sich den Indikationen der transperitonealen Zugänge an. Obwohl der retroperitoneoskopische Zugang speziellen technischen Voraussetzungen unterliegt und einen erfahrenen Operateur erfordert, bietet er dem Operateur und dem Patienten erhebliche Vorteile im Vergleich zum transperitonealen Zugang: ein kleineres OP-Trauma, einen einfachen Zugang beim bereits operierten Patienten, eine reduzierte Krankenhausverweildauer, die Möglichkeit einer bilateralen Resektion im selben Eingriff und die Möglichkeit einer partiellen Adrenalektomie.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Acosta E, Pantoja JP, Gamino R, Rull JA, Herrera MF (1999) Laparoscopic versus open adrenalectomy in Cushing’s syndrom and disease. Surgery 126:1111–1116

    Google Scholar 

  • Adler JT, Mack E, Chen H (2007) Equal oncologic results for laparoscopic and open resection of adrenal metastases. J Surg Res 140:159–164

    Google Scholar 

  • Agha A, Hornung M, Iesalnieks I, Glockzin G, Schlitt HJ (2010) Single-incision retroperitoneoscopic adrenalectomy and single-incision laparoscopic adrenalectomy. J Endourol 24:1765–1770

    Google Scholar 

  • Alesina PF (2015) Komplikationen der minimal-invasiven Adrenalektomie. Chirurg 86:29–32

    Google Scholar 

  • Arezzo A, Cochetti GG, Cirocchi R, Randolph JJ, Mearini EE, Passera R (2015) Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults. Cochrane Database of systematic Reviews. DOI: 10.1002/14651858.CD011668

  • Barczynski M, Konturek A, Nowak W (2014) Randomized clinical trial of posterior retroperitoneoscopic adrenalectomy versus lateral transabdominal laparoscopic adrenalectomy with a 5-year follow-up. Ann Surg 260:740–747

    Google Scholar 

  • Barreca M, Presenti L, Renzi C, Cavallaro G, Borrelli A, Stipa F, Valeri A (2003) Expectations and outcomes when moving from open to laparoscopic adrenalectomy: multivariate analysis. World J Surg 27:223–228

    Google Scholar 

  • Brandao LF, Autorino R, Laydner H, Haber GP, Ouzaid I, De Sio M, Perdonà S, Stein RJ, Porpiglia F, Kaouk JH (2014) Robotic versus laparoscopic adrenalectomy: a systematic review and meta-analysis. Eur Urol 65:1154–1161

    Google Scholar 

  • Brix D, Allolio B, Fenske W, Agha A, Dralle H, Jurowich C, Langer P, Mussack T, Nies C, Riedmiller H, Spahn M, Weismann D, Hahner S, Fassnacht M (2010) Laparoscopic versus open adrenalectomy for adrenocortical carcinoma: surgical and oncologic outcome in 152 patients. Eur Urol 58:609–615

    Google Scholar 

  • Brunt LM, Doherty GM, Norton JA, Soper NJ, Quasebarth MA, Moley JF (1996) Laparoscopic adrenalectomy compared to open adrenalectomy for benign adrenal neoplasms. J Am Coll Surg 183:1–10

    Google Scholar 

  • Castillo OA, Vitagliano G, Kerkebe M, Parma P, Pinto I, Diaz M (2007) Laparoscopic adrenalectomy for suspected metastasis of adrenal glands: our experience. Urology 69:637–641

    Google Scholar 

  • Castinetti F, Taieb D, Henry JF, Walz M, Guerin C, Brue T, Conte-Devoix B, Neumann HP, Sebag F (2016) Management of endocrine disease: outcome of adrenal sparing surgery in heritable pheochromocytoma. Eur J Endocrinol 174:R9–R18

    Google Scholar 

  • Chai YJ, Kwon H, Yu HW, Kim SJ, Choi JY, Lee KE, Youn YK (2014) Systematic review of surgical approaches for adrenal tumors: lateral transperitoneal versus posterior retroperitoneal and laparoscopic versus robotic adrenalectomy. Int J Endocrinol 918346, doi: 10.1155/2014/918346

  • Chotirosnramit N, Angkoolpakdeekul T, Kongdan Y, Suvikapakornkul R, Leelaudomlipi S (2007) A laparoscopic versus open adrenalectomy in Ramathibodi Hospital. J Med Assoc Thai 90:2 638–2643

    Google Scholar 

  • Constantinides VA, Christakis I, Touska P, Palazzo FF (2012) Systematic review and meta-analysis of retroperitoneoscopic versus laparoscopic adrenalectomy. Br J Surg 99:1639–1648

    Google Scholar 

  • Davies MJ, McGlade DP, Banting SW (2004) A comparison of open and laparoscopic approaches to adrenalectomy in patients with phaeochromocytoma. Anaesth Intensive Care 32:224–229

    Google Scholar 

  • Dickson PV, Alex GC, Grubbs EG, Ayala-Ramirez M, Jimenez C, Evans DB, Lee JE, Perrier ND (2011) Posterior retroperitoneoscopic adrenalectomy is a safe and effective alternative to transabdominal laparoscopic adrenalectomy for pheochromocytoma. Surgery 150:452–458

    Google Scholar 

  • Duncan JL, 3rd, Fuhrman GM, Bolton JS, Bowen JD, Richardson WS (2000) Laparoscopic adrenalectomy is superior to an open approach to treat primary hyperaldosteronism. Am Surg 66: 932–935; discussion 935–936

    Google Scholar 

  • Edwin B, Kazaryan AM, Mala T, Pfeffer PF, Tonnessen TI, Fosse E (2001) Laparoscopic and open surgery for pheochromocytoma. BMC Surg 1:2

    Google Scholar 

  • Eichhorn-Wharry LI, Talpos GB, Rubinfeld I (2012) Laparoscopic versus open adrenalectomy: another look at outcome using the Clavin classification system. Surgery 212:659–667

    Google Scholar 

  • Gagner M Lacroix A, Bolté E (1992) Laparoscopic adrenalectomy in Cushing’s syndrom and pheochromocytoma. N Engl J Med 327:1033

    Google Scholar 

  • Gaujoux S, Bonnet S, Leconte M, Zohar S, Bertherat J, Bertagna X, Dousset B (2011) Risk factors for conversion and complications after unilateral laparoscopic adrenalectomy. Br J Surg 98: 1392–1399

    Google Scholar 

  • Gonzales RJ, Shapiro S, Sarlis N, Vassilopoulos-Sellin R, Perrier ND, Evans DB, Lee JE (2005) Laparoscopic resection of adrenal cortical carcinoma: a cautionary note. Surgery 138:1078–1085

    Google Scholar 

  • Guazzoni G, Montorsi F, Bocciardi A, Da Pozzo L, Rigatti P, Lanzi R, Pontiroli A (1995) Transperitoneal laparoscopic versus open adrenalectomy for benign hyperfunctioning adrenal tumors: a comparative study. J Urol 153:1597–1600

    Google Scholar 

  • Hallfeldt KK, Mussack T, Trupka A, Hohenbleicher F, Schmidbauer S (2003) Laparoscopic lateral adrenalectomy versus open posterior adrenalectomy for the treatment of benign adrenal tumors. Surg Endosc 17:264–267

    Google Scholar 

  • Hazzan D, Shiloni E, Golijanin D, Jurim O, Gross D, Reissman P (2001) Laparoscopic vs open adrenalectomy for benign adrenal neoplasm. Surg Endosc 15:1356–1358

    Google Scholar 

  • Hemal AK, Kumar R, Misra MC, Gupta NP, Chumber S (2003) Retroperitoneoscopic adrenalectomy for pheochromocytoma: comparison with open surgery. JSLS 7:341–345

    Google Scholar 

  • Heniford BT, Arca MJ, Walsh RM, Gill IS (1999) Laparoscopic adrenalectomy for cancer. Semin Surg Oncol 16:293–306

    Google Scholar 

  • Henry JF, Defechereux T, Raffaelli M, Lubrano D, Gramatica L (2000) Complications of laparoscopic adrenalectomy: results of 169 consecutive procedurs. World J Surg 24:1342–1346

    Google Scholar 

  • Henry JF, Sebag F, Iacobone M, Miraille E (2002) Results of laparoscopic adrenalectomy for large and potentially malignant tumors. World J Surg 26:1043–1047

    Google Scholar 

  • Imai T, Kikumori T, Ohiwa M, Mase T, Funahashi H (1999) A case-controlled study of laparoscopic compared with open lateral adrenalectomy. Am J Surg 178:50–53; discussion 54

    Google Scholar 

  • Inabnet WB, Pitre J, Bernard D, Chapuis Y (2000) Comparison of the hemodynamic parameters of open and laparoscopic adrenalectomy for pheochromocytoma. World J Surg 24:574–578

    Google Scholar 

  • Ishikawa T, Sowa M, Nagayama M, Nishiguchi Y, Yoshikawa K (1997) Laparoscopic adrenalectomy: comparison with the conventional approach. Surg Laparosc Endosc 7:275–280

    Google Scholar 

  • Ishikawa T, Mikami K, Suzuki H, Imamoto T, Yamazaki T, Naya Y, Ueda T, Igarashi T, Ito H (2002) Laparoscopic adrenalectomy for pheochromocytoma. Biomed Pharmacother 56:S149–S153

    Google Scholar 

  • Korman JE, Ho T, Hiatt JR, Phillips EH (1997) Comparison of laparoscopic and open adrenalectomy. Am Surg 63:908–912

    Google Scholar 

  • Kwan TL, Lam CM, Yuen AW, Lo CY (2007) Adrenalectomy in Hong Kong: a critical review of adoption of laparoscopic approach. Am J Surg 194:153–158

    Google Scholar 

  • Lang B, Fu B, Ouyang JZ, Wang BJ, Zhang GX, Xu K, Zhang J, Wang C, Shi TP, Zhou HX, Ma X, Zhang X (2008) Retrospective comparison of retroperitoneoscopic versus open adrenalectomy for pheochromocytoma. J Urol 179:57–60

    Google Scholar 

  • Leboulleux S, Deandreis D, Al Ghuzian A, Auperin A, Goere D, Dromain C, Elias D, Caillou B, Travagli JP, De Baere T, Lumbroso J, Young J, Schlumberger M, Baudin E (2010) Adrenocortical carcinoma: is the surgical approach a risk factor of peritoneal carcinomatosis? Eur J Endocrinol 162:1147–1153

    Google Scholar 

  • Lee J, El-Tamer M, Schifftner T, Turrentine FE, Henderson WG, Khuri S, Hanks JB, Inabnet WB, 3rd (2008) Open and laparoscopic adrenalectomy: analysis of the National Surgical Quality Improvement Program. J Am Coll Surg 206:953–959; discussion 959–961

    Google Scholar 

  • Magill SB, Raff H, Shaker JL, Brickner RC, Knechtges TE, Kehoe ME, Findling JW (2001) Comparison of adrenal vein sampling and computed tomography in the differentiation of primary hyperaldosteronism. J Clin Endocrinol Metab 86:1066–1071

    Google Scholar 

  • Marangos IP, Kazaryan AM, Rosseland AR, Rosok BI, Carlsen HS, Kromann-Andersen B, Brennhovd B, Hauss HJ, Giercksky KE, Mathisen O, Edwin B (2009) Should we use laparoscopic adrenalectomy for metastases? Scandinavian multicenter study. J Surg Oncol 100:43–47

    Google Scholar 

  • Miccoli P, Materazzi G, Mussi A, Lucchi M, Massi M, Berti P (2004) A reappraisal of the indications for laparoscopic treatment of adrenal metastases. J Laparendosc Adv Surg Tech A 14: 139–145

    Google Scholar 

  • Miller BS, Armori JB, Gauger PG, Broome JT, Hammer GD, Doherty GM (2010) Laparoscopic resection is inappropriate in patients with known oe suspected adrenocortical carcinoma. World J Surg 34:1380–1385

    Google Scholar 

  • Mobius E, Nies C, Rothmund M (1999) Surgical treatment of pheochromocytomas: laparoscopic or conventional? Surg Endosc 13:35–39

    Google Scholar 

  • Muth A, Persson F, Jansson S, Johanson V, Ahlman H, Wangberg B (2010) Prognostic factors for survival after surgery for adrenal metastasis. Eur J Surg Oncol 36:699–704

    Google Scholar 

  • Nagaraja V, Eslick GD, Edirimanne S (2015) Recurrence and functional outcomes of partial adrenalectomy: a systematic review and meta-analysis. Int J Surg 16:7–13

    Google Scholar 

  • Naito S, Uozumi J, Shimura H, Ichimiya H, Tanaka M, Kumazawa J (1995) Laparoscopic adrenalectomy: review of 14 cases and comparison with open adrenalectomy. J Endourol 9:491–495

    Google Scholar 

  • Nigri G, Rosman AS, Petrucciani N, Fancellu A, Pisano M, Zorcolo L, Ramacciato G, Melis M (2013) Meta-analysis of trials comparing laparoscopic transperitoneal and retroperitoneal adrenalectomy. Surgery 153:111–119

    Google Scholar 

  • Nocca D, Aggarwal R, Mathieu A, Blanc PM, Deneve E, Salsano V, Figuiea G, Sanders G, Domergue J, Millat B, Fabre PR (2007) Laparoscopic surgery and corticoadrenalomas. Surg Endosc 21:1373–1376

    Google Scholar 

  • Nwariaku FE, Champine J, Kim LT, Burkey S, O’Keefe G, Snyder WH 3rd (2001) Radiologic characterization of adrenal masses: the role of computed tomography – derived attenuation values. Surgery 130:1068–1071

    Google Scholar 

  • Peppercorn PD, Reznek RH (1997) State-of-the-art CT and MRI of the adrenal gland. Eur Radiol 7:822–836

    Google Scholar 

  • Porpiglia F, Miller BS, Manfred M, Fiori C, Doherty GM (2011) A debate on laparoscopic versus open adrenalectomy for adrenocortical carcinoma. Horm Cancer 2:372–377

    Google Scholar 

  • SAGES (Society of American Gastrointestinal and Endoscopic Surgeons) Guideline (2011) Guideline for the minimally invasive treatment of adrenal pathology. http://www.sages.org/publications/guidelines/guidelines-for-the-minimally-invasive-treatment-of-adrenal-pathology/

  • Sarela AI, Murphy I, Coit DG, Conlon KC (2003) Metastasis to the adrenal gland: the emerging role of laparoscopic surgery. Ann Surg Oncol 10:1191–1196

    Google Scholar 

  • Sasagawa I, Suzuki Y, Itoh K, Izumi T, Miura M, Suzuki H, Tomita Y (2003) Posterior retroperitoneoscopic partial adrenalectomy: clinical experience in 47 procedures. Eur Urol 43:381–385

    Google Scholar 

  • Schreinemakers JM, Kiela GJ, Valk GD, Vriens MR, Rinkes IH (2010) Retroperitoneal endoscopic adrenalectomy is safe and effective. Br J Surg 97:1667–1672

    Google Scholar 

  • Sebag F, Calzolari F, Harding J, Sierra M, Palazzo FF, Henry JF (2006) Isolated adrenal metastasis: the role of laparoscopic surgery. World J Surg 30:888–892

    Google Scholar 

  • Shen WT, Lim RC, Siperstein AE, Clark OH, Schecter WP, Hunt TK, Horn JK, Duh QY (1999) Laparoscopic vs open adrenalectomy for the treatment of primary hyperaldosteronism. Arch Surg 134: 628–631; discussion 631–622

    Google Scholar 

  • Shen WT, Sturgeon C, Duh QY (2005) From incidentaloma to adrenocortical carcinoma: the surgical management of adrenal tumors. J Surg Oncol 89:186–192

    Google Scholar 

  • Sprung J, O’Hara JF Jr, Gill IS, Abdelmalak B, Sarnaik A, Bravo EL (2000) Anesthetic aspects of laparoscopic and open adrenalectomy for pheochromocytoma. Urology 55:339–343

    Google Scholar 

  • Strong VE, D’Angelica M, Tang L, Prete F, Gonen M, Coit D, Touijer KA, Fong Y, Brennan MF (2007) Laparoscopic adrenalectomy for isolated adrenal metastasis. Ann Surg Oncol 14:3392–3400

    Google Scholar 

  • Tanaka M, Tokuda N, Koga H, Kimoto Y, Naito S (2000) Laparoscopic adrenalectomy for pheochromocytoma: comparison with open adrenalectomy and comparison of laparoscopic surgery for pheochromocytoma versus other adrenal tumors. J Endourol 14:427–431

    Google Scholar 

  • Tessier DJ, Iglesias R, Chapman WC, Kercher K, Matthews BD, Gorden DL, Brunt LM (2009) Previously unreported high-grade complications of adrenalectomy. Surg Endosc 23:97–102

    Google Scholar 

  • Terachi T, Yoshida O, Matsuda T, Orikasa S, Chiba Y, Takahashi K, Takeda M, Higashihara E, Murai M, Baba S, Fujita K, Suzuki K, Ohshima S, Ono Y, Kumazawa J, Naito S (2000) Complications of laparoscopic and retroperitoneoscopic adrenalectomies in 370 cases in Japan: a multi-institutional study. Biomed Pharmacother 54:S211–S214

    Google Scholar 

  • Thompson GB, Grant CS, van Heerden JA, Schlinkert RT, Young WF, Jr., Farley DR, Ilstrup DM (1997) Laparoscopic versus open posterior adrenalectomy: a case-control study of 100 patients. Surgery 122:1132–1136

    Google Scholar 

  • Tiberio GA, Baiocchi GL, Arru L, Agabiti Rosei C, De Ponti S, Matheis A, Rizzoni D, Giulini SM (2008) Prospective randomized comparison of laparoscopic versus open adrenalectomy for sporadic pheochromocytoma. Surg Endosc 22:1435–1439

    Google Scholar 

  • Toniato A, Bernante P, Rossi GP, Pelizzo MR (2006) The role of adrenal venous sampling in the surgical management of primary aldosteronism. World J Surg 30:624–627

    Google Scholar 

  • Udelsman R, Fishman EK (2000) Radiology of the adrenal. Endocrinol Metab Clin North Am 29:27–42

    Google Scholar 

  • Walz MK (1998) Minimal-invasive Nebennierenchirurgie. Chirurg 69:613–620

    Google Scholar 

  • Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, Ommer A, Groeben H, Peitgen K, Janssen OE, Philipp T, Neumann HPH, Schmid KW, Mann K (2006) Posterior retroperitoneoscopic adrenalectomy - results of 560 procedures in 520 patients. Surgery 140:943–950

    Google Scholar 

  • Walz MK, Groeben H, Alesina PF (2010) Single-access retroperitoneoscopic adrenalectomy (SARA) versus conventional retroperitoneoscopic adrenalectomy (CORA): a case-control study. World J Surg 34:1386–1390

    Google Scholar 

  • Winfield HN, Hamilton BD, Bravo EL, Novick AC (1998) Laparoscopic adrenalectomy: the preferred choice? A comparison to open adrenalectomy. J Urol 160:325–329

    Google Scholar 

  • Wu CT, Chiang YJ, Chou CC, Liu KL, Lee SH, Chang YH, Chuang CK (2006) Comparative study of laparoscopic and open adrenalectomy. Chang Gung Med J 29:468–473

    Google Scholar 

  • Wu HY, Yu Y, Xu LW, Li XD, Yu DM, Zhang ZG, Li GH (2011) Transperitoneal laparoscopic adrenalectomy for adrenal metastasis. Surg Laparosc Endosc Percutan Tech 21:271–274

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck

    Dr. Dr. med. Franck Billmann

Authors
  1. Dr. Dr. med. Franck Billmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany

    Tobias Keck

  2. Klinik für Allgemein-, Viszeral-, Gefäß-, und Kinderchirurgie, Würzburg, Germany

    Christoph T. Germer

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Billmann, F. (2017). Retroperitoneoskopische Adrenalektomie. In: Keck, T., Germer, C. (eds) Minimalinvasive Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53204-1_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53204-1_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53203-4

  • Online ISBN: 978-3-662-53204-1

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation