| pubmed-article:9597938 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:9597938 | lifeskim:mentions | umls-concept:C0205095 | lld:lifeskim |
| pubmed-article:9597938 | lifeskim:mentions | umls-concept:C0161856 | lld:lifeskim |
| pubmed-article:9597938 | lifeskim:mentions | umls-concept:C0449445 | lld:lifeskim |
| pubmed-article:9597938 | pubmed:issue | 6 | lld:pubmed |
| pubmed-article:9597938 | pubmed:dateCreated | 1998-6-30 | lld:pubmed |
| pubmed-article:9597938 | pubmed:abstractText | The retroperitoneoscopic approach offers an established operative procedure for primary adrenal gland tumors. It allows a detailed view of the adrenal gland and its surrounding region. Therefore clear differentiation between normal and neoplastic adrenal tissue is sometimes possible, permitting a planned, unilateral, subtotal resection of the gland. Between July 1994 and August 1997 primary benign adrenal gland tumors (11 Conn adenomas, 4 phenochromocytomas, 4 Cushing adenomas, 3 hormonally inactive tumors; 2.4 +/- 1.2 cm in size; 8 on the right, 14 on the left) were removed from 22 patients by the posterior retroperitoneoscopic approach maintaining tumor-free portions of the ipsilateral adrenal gland. Two patients suffered from bilateral pheochromocytomas associated with multiple endocrine neoplasia (MEN-IIa) syndrome and had previously undergone complete adrenalectomy of the contralateral gland. Following subtotal resection the operating time and blood loss did not differ significantly (p > 0.05) from that seen with complete extirpation (46 patients operated during the same period). All patients with Conn adenomas and pheochromocytomas were biochemically and clinically cured (follow-up 11 months; range 1-31 months). The four patients with Cushing adenoma currently require decreasing cortisol substitution. In the two MEN-II patients adrenal gland cortical function could be maintained; one patient is on low-dose steroid supplementation and the other on none. No local recurrence of tumors has been observed. In selected cases the retroperitoneoscopically performed subtotal adrenal gland resection is a safe procedure that can potentially maintain the function of the adrenal gland cortex. | lld:pubmed |
| pubmed-article:9597938 | pubmed:language | eng | lld:pubmed |
| pubmed-article:9597938 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:9597938 | pubmed:citationSubset | IM | lld:pubmed |
| pubmed-article:9597938 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:9597938 | pubmed:month | Jun | lld:pubmed |
| pubmed-article:9597938 | pubmed:issn | 0364-2313 | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:MannKK | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:EiglerF WFW | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:SalleoAA | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:WalzM KMK | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:LederbogenSS | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:PeitgenKK | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:GieblerR MRM | lld:pubmed |
| pubmed-article:9597938 | pubmed:author | pubmed-author:NimtzKK | lld:pubmed |
| pubmed-article:9597938 | pubmed:issnType | Print | lld:pubmed |
| pubmed-article:9597938 | pubmed:volume | 22 | lld:pubmed |
| pubmed-article:9597938 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:9597938 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:9597938 | pubmed:pagination | 621-6; discussion 626-7 | lld:pubmed |
| pubmed-article:9597938 | pubmed:dateRevised | 2004-11-17 | lld:pubmed |
| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
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| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
| pubmed-article:9597938 | pubmed:meshHeading | pubmed-meshheading:9597938-... | lld:pubmed |
| pubmed-article:9597938 | pubmed:year | 1998 | lld:pubmed |
| pubmed-article:9597938 | pubmed:articleTitle | Subtotal adrenalectomy by the posterior retroperitoneoscopic approach. | lld:pubmed |
| pubmed-article:9597938 | pubmed:affiliation | Department of General Surgery, Medical School, University of Essen, Germany. | lld:pubmed |
| pubmed-article:9597938 | pubmed:publicationType | Journal Article | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:9597938 | lld:pubmed |
| http://linkedlifedata.com/r... | pubmed:referesTo | pubmed-article:9597938 | lld:pubmed |
