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Updated: Apr 23, 2026
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
[Surgical adrenal approaches: learned experiences]
Santos Bravo-Lázaro1, Juan Hernandis-Villalba1, Emilio Meroño-Carbajosa1
1Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elda (Alicante), Spain.
Background:
Laparoscopic surgery is the standard approach for surgical adrenal gland pathology. However, the open procedure still has its role.
Objective:
Our intention is to report our results and experience using different techniques.
Material And Methods:
A retrospective study of 40 patients was carried out. Demographic and surgical data were analyzed.
Results:
Thirty two patients had benign pathology and eight had malignant tumors. Laparotomy was performed in 18 patients: seven patients with malignant tumors and 11 with benign pathology. Young's approach was indicated in four patients. Laparoscopic aproach was indicated in 25 patients with seven patients requiring conversion to laparotomy. The conversion rate was 28%
Conclusions:
In most cases, the laparoscopic approach is the standard technique. Appropriate case selection is of primary importance. Other surgical techniques should be considered if necessary.
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