scholarly journals Laparoscopic Approach To The Adrenal Masses: Single Center Experience Of 5 Years

Author(s):  
Mehmet Kostek
2016 ◽  
Vol 26 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Xiujun Cai ◽  
Jie Zhao ◽  
Yifan Wang ◽  
Hong Yu ◽  
Xiao Liang ◽  
...  

2013 ◽  
Vol 65 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Gianpaolo Marte ◽  
Vincenzo Scuderi ◽  
Aldo Rocca ◽  
Giuseppe Surfaro ◽  
Carla Migliaccio ◽  
...  

Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 652
Author(s):  
Guglielmo Stabile ◽  
Giulia Zinicola ◽  
Federico Romano ◽  
Francesca Buonomo ◽  
Francesco Paolo Mangino ◽  
...  

Non-tubal ectopic pregnancies (NT-EPs) are rare but potentially life-threatening conditions. The incidence ranges are between 5–8.3% of all ectopic pregnancies. For this retrospective observational study, 16 patients with NT-EP and treated from January 2014 to May 2020 were recruited. Demographic details, symptoms, Beta human chorionic gonadotrophin (β-hCG) levels, ultrasound findings, management and treatment outcomes were presented. In hemodynamically stable patients, diagnosis was made using ultrasounds and β-hCG levels. Laparoscopy was essential to identify and remove the ectopic pregnancy in clinical unstable patients. A radical laparoscopic approach was chosen in one case of cervical pregnancy diagnosed late in the first trimester. Medical treatment and minimally invasive procedure, alone or combined, resulted in effective strategies in asymptomatic women with an early diagnosis of NT-EP. We report cases of cervical pregnancies successfully treated by hysteroscopy alone or combined with medical treatment, the first case of scar pregnancy treated by mini-reseptoscope and curettage and the fifth case of interstitial pregnancy treated with Methotrexate and Mifepristone. In this manuscript we report a single center experience in the management of NT-EPs with the aim of outlining the importance of the early diagnosis for a minimally invasive treatment in order to reduce maternal morbidity and mortality and preserve future fertility.


2016 ◽  
Vol 26 (10) ◽  
pp. 808-811 ◽  
Author(s):  
Salvatore Gruttadauria ◽  
Duilio Pagano ◽  
Alessandro Tropea ◽  
Davide Cintorino ◽  
Luisa Castellana ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Aziz Ari ◽  
Kenan Buyukasik ◽  
Cihad Tatar ◽  
Ozgur Segmen ◽  
Feyzullah Ersoz ◽  
...  

Background.The aim of this study is to discuss the laparoscopic approach and assess the immunohistochemical expression profiles of synaptophysin, Ki-67, and inhibin and patient outcomes in adrenal masses through a series of cases treated at our institution.Method.The study was conducted on 58 patients who were diagnosed with adrenal masses. All cases were operated on laparoscopically for adrenal masses.Results.Both inhibin and synaptophysin were found positive in 45 patients (77,6%). Ki-67 was negative in 11 patients, whereas it was found positive in 42 with a rate of 1%. The size of the masses ranged from 1 up to 9 cm (mean 4,3 ± 1,5). Urine hormone excretion was measured within normal ranges in 47 out of 58 patients (81%). Most of the diagnosed patients were harboring Cortical Adenoma (n: 38; 65,5%). All of the masses were successfully resected without complication except 3 patients. Because of complications of bleeding, the operation was converted to open surgery for 2 patients.Conclusion.Morbidity, mortality, and healing were comparable, regardless of tumor size, yet involvement in both laparoscopic and adrenal surgery was required. Our results suggested that laparoscopic adrenalectomy should replace open surgery as the standard treatment for most adrenal masses.


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