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Posterior Retroperitoneoscopic Adrenalectomy

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Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

Minimally invasive adrenalectomy is the surgical standard for the removal of most adrenal tumors. Benign adrenal neoplasms, whether functioning or nonfunctioning, are amenable to removal by laparoscopic techniques with very minimal morbidity and excellent outcomes. The laparoendoscopic posterior approach for adrenalectomy has rapidly grown in popularity in the United States in the past decade, following the initial reports of the simplicity of this approach, as well as excellent outcomes in Europe [1]. More recently, modifications to established procedures have resulted in novel surgical techniques for adrenalectomy, including the application of robotic systems to this approach. Future advances in technology should result in the continued evolution of techniques and refinement of surgical capabilities, with the ultimate goals of enhanced surgeon proficiency and possibly improved patient outcomes.

Keywords

  • Retroperitoneal adrenalectomy
  • Posterior laparoscopic adrenalectomy

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  • DOI: 10.1007/978-3-662-54067-1_13
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References

  1. Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, et al. Posterior retroperitoneoscopic adrenalectomy – results of 560 procedures in 520 patients. Surgery 2006;140:943–948; discussion 948–50.

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  3. Ludwig AT, Wagner KR, Lowry PS, Papaconstantinou HT, Lairmore TC. Robot-assisted posterior retroperitoneoscopic adrenalectomy. J Endourol. 2010;24:1307–14.

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  4. Berber E, Mitchell J, Milas M, Siperstein A. Robotic posterior retroperitoneal adrenalectomy: operative technique. Arch Surg. 2010;145:781–4.

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  5. Dickson PV, Alex GC, Grubbs EG, Jimenez C, Lee JE, Perrier ND. Robotic-assisted retroperitoneoscopic adrenalectomy: making a good procedure even better. Am Surg. 2013;79:84–9.

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Acknowledgments

The author wishes to acknowledge John C. Hendricks, MD, for the original drawings that were created for this work and redrawn here, as well as the invaluable technical advice and assistance of Patrick S. Lowry, MD; Kristofer R. Wagner, MD; Aaron T. Ludwig, MD; and Samuel K. Snyder, MD.

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Correspondence to Terry C. Lairmore .

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Lairmore, T.C. (2017). Posterior Retroperitoneoscopic Adrenalectomy. In: Howe, J. (eds) Endocrine and Neuroendocrine Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54067-1_13

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  • DOI: https://doi.org/10.1007/978-3-662-54067-1_13

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54065-7

  • Online ISBN: 978-3-662-54067-1

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