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

Détails

ID Serval
serval:BIB_500A30EC7AEB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Surgical access to the adrenal gland: the quest for a no visible scar approach.
Périodique
Surgical Oncology
Auteur(s)
Allemann P., Perretta S., Marescaux J.
ISSN
0960-7404
ISSN-L
0960-7404
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
18
Numéro
2
Pages
131-137
Langue
anglais
Notes
Publication types: Journal Article ; Review Publication Status: ppublish
Résumé
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.
Mots-clé
Adrenal Glands/surgery, Animals, Cadaver, Cicatrix/prevention & control, Disease Models, Animal, Endoscopes, Endoscopy, Gastrointestinal/methods, Humans, Retroperitoneal Space/surgery, Swine
Pubmed
Web of science
Création de la notice
26/01/2016 22:24
Dernière modification de la notice
20/08/2019 15:06
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