Abstract：
AIM OF THE STUDY:To compare the results of the laparoscopic adrenalectomy achieved with the traditional laparotomic one. MATERIAL AND METHOD:In the period 1997-September 2004 we treated 17 patients with adrenal pathology: eight patients underwent to an open anterior transperitoneal adrenalectomy and nine patients underwent a laparoscopic adrenalectomy with lateral transperitoneal approach. RESULTS:Among the immediate results a longer operative time was evident in the laparoscopic approach and a greater blood loss in the open approach; there were no conversions to a laparotomic procedure. In the postoperative period there were some bronchopneumonic infiltrates and some infections of the laparotomy in the open group; in the laparoscopic group there was a parietal haematomas that cleared up spontaneously, in correspondence of a trocar access. DISCUSSION:Both procedures allow to achieve the complete resolution of the adrenal pathology if it is confined within the gland and no more than 8 cm. in size. The morbidity in the mininvasive approach is surely much lower than the open technique. The advantages of a laparoscopic approach can be found in a minor surgical stress. The evident datum that results from the literature analysis of the results of the the laparoscopic adrenalectomies, is the very rapid resumption of the normal activities in the postoperative course. CONCLUSIONS:The laparoscopic adrenalectomy with lateral transperitoneal approach is a safe and efficacious procedure. Therefore, the AA can believe that the laparoscopic approach is at present the gold standard in the treatment of all benign adrenal pathologies with a no more than 8 cm. size.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Neri V,Ambrosi A,Fersini A,Valentino TPsubject
Has Abstractpub_date
2005-03-01 00:00:00pages
123-6issue
2eissn
0003-469Xissn
2239-253Xjournal_volume
76pub_type
杂志文章abstract：:Lower extremity's venous pathology was traditionally investigated by intravenous venography. Nowadays Color Doppler flow imaging is widely accepted as a well established, noninvasive method for the evaluation of deep pelvic and lower extremity's venous system. The vast majority of authors conclude that the method can ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:Situs Viscerum Inversus totalis (SIT) is a rare anomaly with genetic predisposition, in which organs are translated, completely or partially, on the opposite side of the body. Generally there are no organic dysfunctions. Situs Inversus can cause difficulties in the diagnostic and therapeutic management of ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：:"Forgotten" goiter is an extremely rare disease which is defined as a mediastinal thyroid mass found after total thyroidectomy. The authors report their experience of 7 cases of residual mediastinal goiter after total thyroidectomy for substernal goiter. Six patients were female and one male with a median age of 56 ye...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2012-11-01 00:00:00
abstract：BACKGROUND:Since discovered in 1990, Cag A, a protein expressed by specific strains of Helicobacter pylori, was thought able to explain why only a few Helicobacter infected patients develop peptic diseases and gastric cancer. However, clinical trials provide discordant results. MATERIALS AND METHODS:In this study we e...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2002-11-01 00:00:00
abstract：OBJECTIVES:Acute hypercalcemia is a serious condition and represents a physician-surgical emergency: the difficulty in setting a precise diagnosis is due to several possibilities that can cause the condition. It is our purpose to critically evaluate the most actual schemes of treatment and the conditions that could fav...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-05-01 00:00:00
abstract：AIM:Health-status of elderly patients with hepatocellular carcinoma (HCC) may limit surgical approach; other options are thus auspicable. METHODS:The authors reviewed 98 selected patients, aged 65 to 90 years, with 149 HCC treated between 2002 and 2011. According to the extent of malignancy, health status and treatmen...
journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：INTRODUCTION:Coverage of soft tissue defects in the lower leg is often made by use of free flap, also because of the improving of anaesthesiology techniques in the last decades. However, there are disadvantages in the use of free flaps like the need for a remote donor site, increased operative time, use of a major vess...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：AIM:Trans-Abdominal Preperitoneal Patch (TAPP) repairs for Recurrent Hernia (RH) is a technically demanding procedure. It has to be performed only by surgeons with extensive experience in the laparoscopic approach. The purpose of this study is to evaluate the surgical safety and the efficacy of TAPP for RH performed in...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2000-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2006-07-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-11-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1995-11-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
doi：
更新日期：2010-07-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-05-05 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1999-05-01 00:00:00
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journal_title：Annali italiani di chirurgia
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doi：
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journal_title：Annali italiani di chirurgia
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doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1994-07-01 00:00:00
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journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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journal_title：Annali italiani di chirurgia
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doi：
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journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
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