Laparoscopic adrenalectomy in children: A 25-case series and review of the literature

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dc.contributor.authorDokumcu, Zafer
dc.contributor.authorDivarci, Emre
dc.contributor.authorErtan, Yesim
dc.contributor.authorCelik, Ahmet
dc.date.accessioned2019-10-27T10:03:11Z
dc.date.available2019-10-27T10:03:11Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: Laparoscopic adrenalectomy (LA) is the gold standard and is widely performed in adults, but its use in children is relatively new. We aim to present our experience in twenty-five children with diverse adrenal pathologies and to discuss an extensive review of pediatric LA in English literature. Methods: Medical records of children with adrenal tumors admitted to a tertiary center and treated with LA were reviewed. Characteristics and outcome of patients were compared with results of a systematic Pubmed/Medline literature review. Results: Transperitoneal LAs were performed for 12 malignant and 14 benign adrenal masses (size range: 2-8 cm) in 25 children (median age: 63 months). Fourteen lesions were on the right side, and there was one bilateral case. There were no conversion and no complication within 36 months of follow-up. A literature review revealed 437 pediatric LAs with left side predomination (51.4%). The indication was a malignant lesion in 60.2% of the cases (sizes range: 1-10 cm). The transperitoneal route was preferred in 94.2% of the procedures. Conversion and complication rates were 7.5% and 3.1%, respectively. Conclusion: LA should be preferred in selected children with adrenal pathologies. The transperitoneal route seems to be the standard approach for pediatric surgeons. Preoperative planning and surgical expertise are the keys to success. (C) 2017 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2017.11.055en_US
dc.identifier.endpage1805en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue9en_US
dc.identifier.pmid29254846en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1800en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2017.11.055
dc.identifier.urihttps://hdl.handle.net/11454/30082
dc.identifier.volume53en_US
dc.identifier.wosWOS:000442653100029en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal of Pediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdrenalen_US
dc.subjectChildrenen_US
dc.subjectLaparoscopyen_US
dc.titleLaparoscopic adrenalectomy in children: A 25-case series and review of the literatureen_US
dc.typeReview Articleen_US

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