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Adrenalectomy via the dorsal approach: a benchmark for laparoscopic adrenalectomy
P A Nash1, I Leibovitch, J P Donohue
1Department of Urology, Indiana University Medical Center, Indianapolis, Indiana.
Purpose:
We reviewed our experience with posterior surgical excision of aldosteronomas.
Materials And Methods:
A retrospective review identified 40 consecutive cases performed by 1 surgeon.
Results:
Mean patient age was 46 years and mean blood loss was 237 cc. There was no perioperative mortality or intraoperative complications. Times to unassisted ambulation and return to a normal diet were 2.2 and 2.4 days, respectively, with a mean postoperative hospital stay of 4.4 days.
Conclusions:
The removal of aldosteronomas via the dorsal approach is a safe reliable technique with acceptable morbidity. These results provide a benchmark by which the results of laparoscopic adrenalectomy may be judged.