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Retroperitoneal Adrenalectomy

  • Amsterdam UMC - Vrije Universiteit Amsterdam
  • Center of Minimally Invasive Surgery

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

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Abstract

A multidisciplinary approach involving surgery, anaesthesiology, endocrinology, nuclear medicine, radiology and pathology is strongly recommended to manage patients with adrenal disease. Assessing hormonal activity of adrenal lesions and high resolution imaging are essential steps to determine whether surgical removal is necessary. Hormonally active adrenal tumors and non-functional adrenal lesions greater than 4 cm in diameter merit removal. In the latter group, it is important to identify any signs of malignancy. In patients with adrenal suspicious pathology, open surgery is advocated because these adrenal malignancies tend to be very fragile predisposing to tumor spill during laparoscopic manipulation.
Original languageEnglish
Title of host publicationSurgical Principles of Minimally Invasive Procedures: Manual of the European Association of Endoscopic Surgery (EAES)
PublisherSpringer International Publishing
Pages259-264
ISBN (Electronic)9783319431963
ISBN (Print)9783319431949
DOIs
Publication statusPublished - 1 Jan 2017

Publication series

NameSurgical Principles of Minimally Invasive Procedures: Manual of the European Association of Endoscopic Surgery (EAES)

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