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Laparoendoscopic single site,laparoscopic or open surgery for adrenal tumors:Selecting the optimal approach
Laparoendoscopic single site,laparoscopic or open surgery for adrenal tumors:Selecting the optimal approach
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摘要：
Numerous surgical modalities are available to treat adrenal lesions.Minimally-invasive approaches for adrenalectomy are indicated in most circumstances,and new evidence continues to be accumulated.In this context,current indications for open surgical adrenalectomy(OS-A),minimally-invasive adrenalectomy(MI-A),and laparoendoscopic single-site adrenalectomy(LESS-A)remain unclear.A comprehensive Englishlanguage literature review was performed using MEDLINE/PubMED to identify articles and guidelines pertinent to the surgical management of adrenal tumors.A comprehensive chart review was performed for three illustrative cases.Clinical recommendations were generated based on relevant literature and the expertise of the investigator group.MI-A offers advantages over OS-A in properly selected patients,who experience fewer complications,lower blood loss,and shorter hospital stays.Robot-assisted laparoscopic and retroperitoneoscopic adrenalectomy may offer advantages over transperitoneal surgery,and LESS-A may be an even less-invasive option that will require further evaluation.MI-A remains the surgical treatment of choice for most adrenal lesions.Tumor size and stage are the primary indications for selecting alternative treatment modalities.OS-A remains the gold standard for large tumors(>10 cm)and suspected or known advanced stage malignancy.LESS-A appears to be an appropriate initial approach for small tumors(<4-5 cm),including pheochromocytoma and isolated adrenal metastases.
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| 篇名 | Laparoendoscopic single site,laparoscopic or open surgery for adrenal tumors:Selecting the optimal approach | ||
| 来源期刊 | 世界临床泌尿杂志 | 学科 | 医学 |
| 关键词 | ADRENAL MASSES Surgical approach INDICATIONS Open ADRENALECTOMY LAPAROSCOPIC ADRENALECTOMY Laparoendoscopic SINGLE-SITE ADRENALECTOMY | ||
| 年，卷（期） | 2014,（2） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 54-65 | |
| 页数 | 12页 | 分类号 | R |
| 字数 | 语种 | ||
| DOI | |||
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ADRENAL
MASSES
Surgical
approach
INDICATIONS
Open
ADRENALECTOMY
LAPAROSCOPIC
ADRENALECTOMY
Laparoendoscopic
SINGLE-SITE
ADRENALECTOMY
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界临床泌尿杂志
主办单位：
百世登出版集团有限公司
出版周期：
不定期
ISSN：
2219-2816
CN：
开本：
出版地：
北京市朝阳区东四环中路62号楼远洋国际中
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创刊时间：
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出版文献量（篇）
96
总下载数（次）
0
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0
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