CoChat
Sign Up
Cited by 425Adrenal and Paraganglionic TumorsMinimally Invasive Surgical TechniquesHormonal Regulation and Hypertension

Posterior retroperitoneoscopic adrenalectomy–results of 560 procedures in 520 patients

Walz, Martin K., Alesina, Piero F., Wenger, Frank A., Deligiannis, Anastasios, Szuczik, Eduard, Petersenn, Stephan, Ommer, Andreas, Groeben, Harald +6 more·2006·Surgery
DOI 10.1016/j.surg.2006.07.039
Open this paper in CoChat — free account

Abstract

Background The posterior retroperitoneoscopic adrenalectomy is less popular than the laparoscopic transabdominal method. Due to the direct approach to the adrenal glands, however, the posterior retroperitoneal access is easy to use and may offer advantages not available with other endoscopic procedures for adrenalectomy.Methods Between July 1994 and March 2006, we performed 560 adrenalectomies (right side: n = 258; left side: n = 302) by the posterior retroperitoneoscopic approach in 520 patients (200 male, 320 female; age, 10 to 83 years). Of the 520 patients, 21 suffered from Cushing's disease, 499 patients had adrenal tumors (157 Conn's adenomas, 120 pheochromocytomas [13 bilateral], 110 Cushing's adenomas [6 bilateral], and 112 other tumors). Tumor size ranged from 0.5 to 10 cm (mean, 2.9 +/- 1.7 cm). The procedures were performed with the patients in the prone position usually with 3 trocars.Results Mortality was zero. Conversions to open or laparoscopic lateral surgery were necessary in 9 patients (1.7%). Major complications occurred in 1.3% of patients, minor complications in 14.4%. Mean operating time was 67 +/- 40 min and declined significantly (P < .001) from the early procedures (106 +/- 46 min) to the later operations (40 +/- 15 min).Conclusions The posterior retroperitoneoscopic adrenalectomy is a safe and fast procedure. In experienced hands, this method represents the ideal approach in adrenal surgery.

Integrity signals

Registry

Crossref · 10.1016/j.surg.2006.07.039

Cites

25 of 25 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Posterior retroperitoneoscopic adrenalectomy has been reported to lead to reduced post-operative analgesia and length of hospital stay.

    “This technique has been reported to lead to reduced post-operative analgesia and length of hospital stay (337,338).”

    From Adrenal incidentaloma (2020) · cites this paper as [337]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Walz, M. K., Alesina, P. F., Wenger, F. A., Deligiannis, A., Szuczik, E., Petersenn, S., Ommer, A., Groeben, H., Peitgen, K., Janssen, O. E., Philipp, T., Neumann, H. P. H., Schmid, K. W., & Mann, K.
Affiliations
  • Essen University Hospital (DE)
  • University Medical Center Freiburg (DE)
Corresponding author
Walz, Martin K.
ORCID
Venue
Surgery
Publisher
Elsevier BV
Published
2006-12
Volume
140
Issue
6
Pages
943-950
ISSN
0039-6060 (ISSN-L)
DOI
10.1016/j.surg.2006.07.039
OpenAlex
W1998864724
Cited by
425
References
25
Citations by year
2026: 11 · 2025: 14 · 2024: 17 · 2023: 22 · 2022: 31 · 2021: 19 · 2020: 31 · 2019: 22 · 2018: 28 · 2017: 20 · 2016: 23 · 2015: 19 · 2014: 22 · 2013: 19 · 2012: 24
FWCI
13.89
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal Regulation and Hypertension
Keywords
posterior retroperitoneoscopic adrenalectomy, adrenal surgery, adrenal tumors, Cushing's disease, pheochromocytoma, Conn's adenoma, Cushing's adenoma, surgical outcomes, operative time, postoperative complications, conversion to open surgery
MeSH terms
Adolescent, Adrenal Glands, Adrenalectomy, Adult, Aged, Aged, 80 and over, Child, Endoscopy, Female, Humans, Male, Middle Aged, Laparoscopy, Retroperitoneal Space, Retrospective Studies, Treatment Outcome, Minimally Invasive Surgical Procedures

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review