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Laparoendoscopic Single-Site and Conventional Laparoscopic Adrenalectomy: A Matched Case-Control Study

Cited 92 time in Web of Science Cited 98 time in Scopus
Authors
Jeong, Byong Chang; Park, Yong Hyun; Han, Deok Hyun; Kim, Hyeon Hoe
Issue Date
2009-12
Publisher
MARY ANN LIEBERT INC
Citation
JOURNAL OF ENDOUROLOGY; Vol.23 12; 1957-1960
Abstract
Purpose: The purpose of this study was to describe our initial clinical experience and assess the feasibility of laparoendoscopic single-site surgery (LESS) in the treatment of benign adrenal adenoma. Patients and Methods: Nine patients undergoing LESS adrenalectomy for benign adrenal adenoma were compared with 17 patients undergoing conventional laparoscopic adrenalectomy. Controls were matched for age, sex, surgical indications, and tumor size via a statistically generated selection of all conventional laparoscopic adrenalectomies performed during the same period of time. Results: No significant differences in the mean operative time (169 vs. 144.5 minutes, p = 0.287), blood loss (177.8 vs. 204.7 mL, p = 0.792), and postoperative hospital stay (3.2 vs. 3.5 days, p = 0.525) were observed between the LESS and conventional laparoscopy group. However, postoperative pain, as measured by the number of days of intravenous (IV) patient controlled anesthesia use, was significantly lower in the LESS group (0.9 vs. 1.9 days, p = 0.047). Perioperative complications were similar between the two groups. Conclusions: LESS adrenalectomy for benign adrenal adenoma is comparable to the conventional laparoscopic approach with regard to the operative time, blood loss, length of hospital stay, and degree of complication, and has demonstrated more desirable cosmetic outcomes.
ISSN
0892-7790
Language
English
URI
http://hdl.handle.net/10371/77084
DOI
https://doi.org/10.1089/end.2009.0404
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College of Medicine/School of Medicine (의과대학/대학원)Urology (비뇨기과학전공)Journal Papers (저널논문_비뇨기과학전공)
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