Mini-laparoscopic adrenalectomy with transgastric specimen extraction.
Fatih SumerYusuf Murat BağMehmet Can AydinBahri EvrenEmine Sener AydinIbrahim SahinCuneyt KayaalpPublished in: Updates in surgery (2020)
We aimed to describe the initial experience of mini-laparoscopic adrenalectomy combined with transgastric specimen extraction and to assess its safety and feasibility. We used only 5-mm trocars, three ports for left adrenalectomy and four for right. Intraoperative gastroscopy was performed for specimen extraction through the mouth via an endoscopic snare. The gastrotomy was closed intracorporeally. Demographic, perioperative and pathological data were analyzed. There were 16 patients (12 females) with the mean age of 46.5 ± 11.3 years and half of them had previous abdominal surgeries. The median operative time was 150 (45-432) min with a median blood loss of 88 (0-350) ml. The median oral intake time was 2 (1-4) days and the median length of hospital stay was 2 (2-5) days. There was no mortality and extraction-related complication. Histopathological median tumor length, width and depth were 3 cm, 2.15 cm, and 1.9 cm, respectively. The median specimen length, width and depth were 6.25 cm, 4 cm, and 2.2 cm, respectively. Mini-laparoscopic adrenalectomy combined with transgastric specimen extraction is a safe and feasible surgical technique. It provides a less invasive surgery and may also have some benefits on wound-related complications and cosmesis.
Keyphrases
- robot assisted
- end stage renal disease
- healthcare
- newly diagnosed
- patients undergoing
- chronic kidney disease
- type diabetes
- cardiac surgery
- cardiovascular disease
- prognostic factors
- acute coronary syndrome
- machine learning
- surgical site infection
- big data
- acute kidney injury
- physical activity
- percutaneous coronary intervention
- wound healing
- artificial intelligence
- patient reported