Abstract
During the last two decades minimally invasive surgery has became the gold standard of treatment for the removal of benign functioning and non-functioning tumors of the adrenal glands. Trans-abdominal laparoscopic adrenalectomy (TLA) was first reported in 1992 by Gagner et al. Since then, multiple retrospective comparative studies have demonstrated the benefits of minimally invasive techniques in adrenalectomy, specifically the decreased requirements for analgesics, improved patients satisfaction, and shorter hospital stay and recovery time when compared to open surgery. The lateral transabdominal approach to the adrenals is currently the most widely practised route since it provides a good overall view of the adrenal gland and surrounding structures, and allows a wide operative field. From a technical point of view the primary prerequisites for a successful procedure are an adequate knowledge of anatomy, a delicate tissue handling and a meticulous haemostasis technique in order to properly identify structures and prevent bleeding that could greatly complicate the surgical procedure.
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Lombardi, C.P., Raffaelli, M., De Crea, C., Pennestri, F., Bellantone, R. (2013). Left Flank Trans-Abdominal Laparoscopic Adrenalectomy . In: Valeri, A., Bergamini, C., Bellantone, R., Lombardi, C. (eds) Surgery of the Adrenal Gland. Springer, Milano. https://doi.org/10.1007/978-88-470-2586-8_10
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DOI: https://doi.org/10.1007/978-88-470-2586-8_10
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