Abstract:
BACKGROUND:It is well accepted that identification and control of the adrenal vein is a critical step in laparoscopic adrenalectomy. The surgical and anatomic literature propagates the notion of a dominant or multiple dominant adrenal arteries that should likewise be controlled during surgical extirpation. MATERIALS AND METHODS:We assessed the frequency of adrenal-artery identification and the need for formal ligation in an extensive series of laparoscopic adrenalectomies. RESULTS:In our experience, even using a magnified laparoscopic view, we found it possible to identify and necessary to formally ligate an adrenal artery in only 3 of 265 cases (1.1%). Further, in this series, only the inferior adrenal artery was ever seen definitively to require formal clip ligation, while a discrete middle or superior adrenal artery was almost never seen, and the vasculature in these areas could be controlled with electrocautery or ultrasonic energy alone during routine dissection. CONCLUSIONS:The need to search for and ligate the arterial supply during laparoscopic adrenalectomy is not as clinically significant as once thought, and formal control appears unnecessary unless the vessels are serendipitously encountered during the routine dissection.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Joel AB,Rubenstein JN,Arredondo S,Meng MV,Duh QY,Stoller MLdoi
10.1089/end.2005.19.793subject
Has Abstractpub_date
2005-09-01 00:00:00pages
793-6issue
7eissn
0892-7790issn
1557-900Xjournal_volume
19pub_type
杂志文章abstract:: Introduction: Ionizing radiation is used throughout urologic surgery and is known to cause a greater cancer risk with increasing exposure. The International Commission on Radiological Protection states that "it is the control of radiation dose that is important, no matter ...
journal_title:Journal of endourology
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abstract:PURPOSE:We evaluated whether epigallocatechin gallate (EGCG), a main constituent of green tea polyphenols, could protect against cellular toxicity by oxalate and whether green tea supplementation attenuates the development of nephrolithiasis in an animal model. MATERIALS AND METHODS:Cells of the NRK-52E line were incu...
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journal_title:Journal of endourology
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doi:10.1089/end.2011.0304
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
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pub_type: 临床试验,杂志文章,多中心研究
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journal_title:Journal of endourology
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更新日期:2007-09-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.139
更新日期:1998-04-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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更新日期:2006-07-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章
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