Minimalinvasive Operation von Nebennierentumoren

Zusammenfassung

Für minimalinvasive Operationsverfahren, die heute den Goldstandard bei Nebennierentumoren darstellen, stehen in spezialisierten Zentren laparoskopische (transperitoneal) und retroperitoneoskopische Techniken zur Verfügung. Diese Übersichtsarbeit vermittelt einen Überblick über die Indikationen zur minimalinvasiven Adrenalektomie, die technische Durchführung, das perioperative Management sowie über typische Verfahrens-assoziierte Komplikationen.

Abstract

Minimal invasive surgical methods are gold standard at the resection of adrenal tumors. Special medical care units provide laparoscopical and retroperitoneoscopical techniques. This review gives an overview about indication of minimal invasive adrenalectomy, technical implementation, perioperative management and generic surgery-associated complications.

Schlüsselwörter

Nebennierentumoren - Adrenalektomie - Phäochromozytom - Conn-Adenom - Nebennierenkarzinom - Inzidentalom

Key words

adrenal tumors - adrenalectomy - phaeochromocytoma - Conn syndrome - adrenal carcinoma - incidentaloma

• Literatur

• 1 Carr AA, Wang TS. Minimally Invasive Adrenalectomy. Surg Oncol Clin N Am 2016; 25: 139-152
• 2 Brix D, Allolio B, Fenske W. et al. Laparoscopic versus open adrenalectomy for adrenocortical carcinoma: surgical and oncologic outcome in 152 patients. Eur Urol 2010; 58: 609-615
• 3 Walz MK, Alesina PF, Wenger FA. et al. Posterior retroperitoneoscopic adrenalectomy – results of 560 procedures in 520 patients. Surgery 2006; 140 (06) 943-948
• 4 Eichhorn-Wharry LI, Talpos GB, Rubinfeld I. Laparoscopic versus open adrenalectomy: another look at outcome using the Clavien classification system. Surgery 2012; 152: 1090-1095
• 5 Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 1992; 327: 1033
• 6 Alesina PF. Complications of minimally invasive adrenalectomy. Chirurg 2015; 86: 29-32
• 7 Nigri G, Rosman AS, Petrucciani N. et al. Meta-analysis of trials comparing laparoscopic transperitoneal and retroperitoneal adrenalectomy. Surgery 2013; 153: 111-119
• 8 Constantinides VA, Christakis I, Touska P. et al. Systematic review and meta-analysis of retroperitoneoscopic versus laparoscopic adrenalectomy. Br J Surg 2012; 99: 1639-1648
• 9 Walz MK. Minimally invasive adrenal gland surgery. Transperitoneal or retroperitoneal approach?. Chirurg 2012; 83: 536-545
• 10 Nagaraja V, Eslick GD, Edirimanne S. Recurrence and functional outcomes of partial adrenalectomy: a systematic review and meta-analysis. Int J Surg 2015; 16: 7-13
• 11 Dinnes J, Bancos I, Ferrante di Ruffano L. et al. Management of Endocrine Disease: Imaging for the diagnosis of malignancy in incidentally discovered adrenal masses: a systematic review and meta-analysis. Eur J Endocrinol 2016; 175: R51-R64
• 12 Dekkers T, Prejbisz A, Kool LJS. et al. Adrenal vein sampling versus CT scan to determine treatment in primary aldosteronism: an outcome-based randomised diagnostic trial. Lancet Diabetes Endocrinol 2016; 4: 739-746
• 13 Strebel RT, Muntener M, Sulser T. Intraoperative complications of laparoscopic adrenalectomy. World J Urol 2008; 26: 555-560
• 14 Gaujoux S, Bonnet S, Leconte M. et al. Risk factors for conversion and complications after unilateral laparoscopic adrenalectomy. Br J Surg 2011; 98: 1392-1399