RESUMO
Since the initial report in 1992, laparoscopic adrenalectomy has proved substantial advantages over the conventional procedure in terms of decreased postoperative pain and hospital stay, allowing earlier return to normal activity. The technical details are in permanent evolution and the most widely accepted laparoscopic surgery for the adrenal gland is the transabdominal lateral approach. We hereby describe step by step the way we perform the lateral approach after 41 consecutive cases.
Assuntos
Adrenalectomia/métodos , Laparoscopia/métodos , Neoplasias das Glândulas Suprarrenais/cirurgia , Glândulas Suprarrenais/cirurgia , Humanos , Feocromocitoma/cirurgia , Cuidados Pós-Operatórios , PosturaRESUMO
Desde su descripción en 1992, la adrenalectomía laparoscópica ha demostrado ventajas sustanciales sobre la cirugía convencional en términos de dolor postoperatorio, estancia hospitalaria y retorno del paciente a su actividad sociolaboral cotidiana. Los detalles técnicos están en permanente evolución y el abordaje más aceptado en la actualidad es el transabdominal con el paciente en decúbito lateral. En esta revisión se describe paso a paso nuestro modo de realizar la técnica para hacerla más reproducible, a la luz de 41 casos intervenidos(AU)
Since the initial report in 1992, lapa-roscopic adrenalectomy has proved substantial advan-tages over the conventional procedure in terms of de-creased postoperative pain and hospital stay, allowing earlier return to normal activity. The technical details are in permanent evolution and the most widely accepted laparoscopic surgery for the adrenal gland is the transabdominal lateral approach. We hereby describe step by step the way we perform the lateral approach after 41 consecutive cases(AU)