Intraoperative complications of laparoscopic adrenalectomy |
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Authors: | Raeto T Strebel Michael Müntener Tullio Sulser |
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Institution: | 1.Department of Urology,Kantonsspital Graubünden,Chur,Switzerland;2.Department of Urology,University Hospital Zurich,Zurich,Switzerland |
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Abstract: | A laparoscopic or retroperitoneoscopic access to the adrenal gland is the standard of care for adrenalectomy in most cases.
Although in laparoscopic adrenalectomy the approach is minimally invasive, the procedure is challenging. This is reflected
in the scope of possible complications. The surgeon must consider complications related to the anatomical topography of the
adrenal gland, which typically encompasses the complications known from open surgery and complications related to the minimal
invasive access. In this topic paper we will address the most frequently encountered complications of adrenalectomy: vascular
injuries, injuries of the bowel, pleural tears, and injuries to the liver, spleen and pancreas. Fortunately, these complications
occur rarely. However, many of these complications can have devastating consequences. Therefore, it’s the surgeon’s obligation
to be aware of the possible complications he might encounter during laparoscopic adrenalectomy. This awareness is essential
for their prevention and it helps the laparoscopic surgeon to identify complications intraoperatively. |
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Keywords: | Adrenalectomy Intraoperative complications Laparoscopy |
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