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KMID : 1104520230230010001
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Journal of Endocrine Surgery
2023 Volume.23 No. 1 p.1 ~ p.6
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Various Methods for Laparoscopic Adrenalectomy
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Kim Kwang-Soo
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Abstract
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Laparoscopic adrenalectomy (LA) is a minimally invasive surgical procedure that emerged as the preferred treatment method for adrenal tumors. LA has 4 main methods: transperitoneal, retroperitoneal, hand-assisted, and robot-assisted. Transperitoneal LA provides excellent visualization of the adrenal gland and surrounding structures and is well-suited for tumors in difficult locations. Posterior retroperitoneoscopic adrenalectomy is a quick procedure with less postoperative pain and discomfort, making it an excellent option for smaller tumors in easy-to-reach locations. Hand-assisted LA combines the benefits of laparoscopic surgery with the tactile feedback of traditional open surgery. It is a good option for larger tumors or in patients with obesity. A robot-assisted LA is a good option for complex cases because it enables the surgeon to have greater precision and control of the surgical instruments. The choice of the LA technique should be made on a case-by-case basis, considering the patient’s factors and the surgeon’s experience and preference. Thorough preoperative evaluation and careful patient selection are essential for optimal surgical outcomes.
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KEYWORD
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Adrenalectomy, Minimally invasive surgical procedures, Laparoscopy
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