Clipless and Suturless Laparoscopic Right Adrenalectomy for Giant Adrenal Mass and Laparoscopic Cholecystectomy Performed During the Same Operative Session

Yıl 2012, Cilt: 13 Sayı: 3, 27 - 30, 01.12.2012

Önder Sürgit

Öz

This report depicts the feasibility of clipless and sutureless laparoscopic adrenalectomy technique for giant adrenal mass and combination of right adrenalectomy and cholecystectomy in a single laparoscopic operation. A 64-year-old man with 14.0x13.3x10.7 cm right adrenal mass and cholelithiasis was referred for laparoscopic right adrenalectomy and cholecystectomy. Transperitoneal clipless and sutureless laparoscopic procedure was performed with LigaSure device. The procedure was completed with no difficulty. Total operative time was 90 min with an estimated blood loss of 40 mL. The final pathology revealed myelolipoma. No infectious or bowel complications occurred. Here, we describe a patient in whom laparoscopic clipless and sutureless laparoscopic right adrenalectomy for giant adrenal mass and cholecystectomy were performed during the same operative session. The technique appears to be feasible even for giant adrenal mass and may merit further study.

Anahtar Kelimeler

Laparoscopy, adrenalectomy, cholecystectomy, hemostatic techniques

Kaynakça

• parmaðý gibi iþlev görerek adrenal bezin vena kava
• inferiordan künt disseksiyonla vene zarar vermeden
• uzaklaþtýrýlmasýnda son derece etkin olmasýdýr.
• Özellikle vena kava inferior üzerine taþmýþ ve veni
• itmiþ kitlenin ayrýlmasý esnasýnda cihazýn bu özelliði
• o p e r a s y o n a ö n e m l i k a t k ý d a b u l u n m u þ t u r.
• Operasyonun en uzun süren ve zorlanýlan bölümü bu kýsým olmuþtur.
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• Yrd. Doç. Dr. Önder SÜRGÝT
• Fatih Üniversitesi Týp Fakültesi Genel Cerrahi
• Anabilim Dalý, Ankara, Türkiye
• E-Posta : [e-mail] Geliþ Tarihi Kabul Tarihi : 14.11.2011