https://scholars.lib.ntu.edu.tw/handle/123456789/544211
標題: | Laparoscopic management of potentially malignant or complex adrenal cysts abiding by the principles of surgical oncology | 作者: | Hung S.-F. Chung S.-D. SHIH-CHIEH CHUEH Lai M.-K. HONG-JENG YU |
公開日期: | 2009 | 卷: | 23 | 期: | 1 | 起(迄)頁: | 107-113 | 來源出版物: | Journal of Endourology | 摘要: | Background and Purpose: Few articles have illustrated minimally invasive management of potentially malignant adrenal cysts. The aim of this study was to evaluate the feasibility of laparoscopic adrenalectomy for potentially malignant adrenal cysts Patients and Methods: Eight patients with potentially malignant or complex cysts were treated by laparoscopic adrenalectomy in the past 10 years at our institution. The operative techniques strictly abided by the principles of surgical oncology. The entire adrenal gland, including the cyst, was excised en bloc via a lateral transperitoneal laparoscopic approach and moved into a LapSac? bag. After protecting the exterior abdominal surface, we pulled the LapSac's opening out of the periumbilical wound and opened the cyst wall to siphon all the fluid content with a sucker tip dipped into the cyst cavity. Then the remaining cyst components and the adrenal gland were removed with the bag. Results: All of the laparoscopic operations were successful without intraoperative or postoperative morbidity, open conversion, or mortality. Mean operative time was 135 minutes with minimal blood loss. Mean hospital stay was 3.4 days. Histopathologic examinations revealed five hemorrhagic pseudocysts, two endothelial cysts, and a cystic pheochromocytoma. There was involvement of periadrenal adipose tissues by the chromium-staining tumor cells in the cystic pheochromocytoma, and malignancy could not be excluded. At a mean follow-up of 40 months, all patients were asymptomatic and had no radiographic evidence of recurrence or dissemination. Conclusions: To our knowledge, this report represents the largest series of laparoscopic excisions for complex adrenal cysts. This technique is safe and feasible, while maintaining the benefits of minimal invasiveness. ? Mary Ann Liebert, Inc. 2009. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-59349094278&doi=10.1089%2fend.2008.0436&partnerID=40&md5=0ca8b1e99d3c97ad8c30ccd92c399c44 https://scholars.lib.ntu.edu.tw/handle/123456789/544211 |
ISSN: | 0892-7790 | DOI: | 10.1089/end.2008.0436 | SDG/關鍵字: | chromium; adipose tissue; adrenal cyst; adrenalectomy; adult; aged; article; bleeding; clinical article; feasibility study; female; follow up; histopathology; hospitalization; human; human tissue; laparoscopy; male; nuclear magnetic resonance imaging; pheochromocytoma; priority journal; surgical mortality; tumor cell; Adrenal Glands; Adult; Aged; Cysts; Demography; Female; Humans; Laparoscopy; Magnetic Resonance Imaging; Male; Middle Aged; Perioperative Care; Pheochromocytoma; Tomography, X-Ray Computed |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。