Surgical access to the adrenal gland: the quest for a no visible scar approach.

Details

Serval ID
serval:BIB_500A30EC7AEB
Type
Article: article from journal or magazin.
Collection
Publications
Title
Surgical access to the adrenal gland: the quest for a no visible scar approach.
Journal
Surgical Oncology
Author(s)
Allemann P., Perretta S., Marescaux J.
ISSN
0960-7404
ISSN-L
0960-7404
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
18
Number
2
Pages
131-137
Language
english
Notes
Publication types: Journal Article ; Review Publication Status: ppublish
Abstract
Surgery of the adrenal glands has various approaches and remains technically challenging. Many different techniques have been used to decrease morbidity. The most important one is probably laparoscopy which has already quite dramatically improved clinical outcome. The second one is the introduction of posterior endoscopic approach (retroperitoneoscopy), which entirely preserves peritoneal integrity. This concept seems to us to be a fundamental in surgery of the retroperitoneum. Recently, new developments have emerged in the field of abdominal surgery. The most radical concept, known as Natural Orifice Transluminal Endoscopic Surgery (NOTES), consists of the introduction of both endoscope and working instruments through natural orifices in order to eliminate skin incisions and their associated morbidities. Although transperitoneal adrenalectomy has previously been reported in a porcine model, here we report our initial experiences of extra-peritoneal transvaginal NOTES approach of the retroperitoneum, focused on the field of adrenal surgery in both porcine and cadaver models. Whether clinical applications will ultimately be derived of this concept is still not clear certainly it raises new possibilities for interesting developments.
Keywords
Adrenal Glands/surgery, Animals, Cadaver, Cicatrix/prevention & control, Disease Models, Animal, Endoscopes, Endoscopy, Gastrointestinal/methods, Humans, Retroperitoneal Space/surgery, Swine
Pubmed
Web of science
Create date
26/01/2016 21:24
Last modification date
20/08/2019 14:06
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