Document Detail


Laparoscopic adrenalectomy for benign adrenal neoplasms.
MedLine Citation:
PMID:  9869686     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Since first reported in 1992, laparoscopic adrenalectomy has been used to remove a wide variety of adrenal neoplasms. Indications for use of this technique have not been clearly defined, nor has it been demonstrated to be more cost effective than open adrenalectomy. METHODS: A retrospective comparison was made of 19 consecutive laparoscopic and open adrenalectomies performed in patients with benign adrenal neoplasms in a tertiary-care university teaching hospital over a 3-year period. RESULTS: The two groups were well matched for side of tumor and age. Laparoscopic adrenalectomy was completed in 11 of 12 patients in whom it was attempted. The laparoscopic group had significantly smaller tumor size; shorter operative time, postoperative ileus, and postoperative stay; and decreased operative blood loss and postoperative narcotic requirement. There were no significant differences between groups for operating room or hospital charges. CONCLUSIONS: Laparoscopic adrenalectomy is cost effective and should be the preferred treatment for patients with small benign adrenal neoplasms.
Authors:
R L Soares; J Monchik; S J Migliori; J F Amaral
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgical endoscopy     Volume:  13     ISSN:  0930-2794     ISO Abbreviation:  Surg Endosc     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-02-18     Completed Date:  1999-02-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  40-2     Citation Subset:  IM    
Affiliation:
Department of Surgery, Rhode Island Hospital/Brown University, Providence RI 02903, USA.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / surgery*
Adrenalectomy / economics,  methods*
Adult
Aged
Analysis of Variance
Chi-Square Distribution
Fees and Charges
Female
Follow-Up Studies
Hospital Costs
Humans
Laparoscopy / economics,  methods*
Length of Stay / economics
Male
Middle Aged
Retrospective Studies
Rhode Island
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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