Version 1
: Received: 26 September 2024 / Approved: 1 October 2024 / Online: 1 October 2024 (11:58:52 CEST)
How to cite:
Feciche, B. O.; Barbos, V.; Big, A.; Porav-Hodade, D.; Cumpanas, A. A.; Latcu, S. C.; Zara, F.; Barb, A. C.; Dumitru, C.-S.; Cut, T. G.; Ismail, H.; Novacescu, D. Posterior Retroperitoneal Laparoscopic Adrenalectomy: An Anatomical Essay and Surgical Update. Preprints2024, 2024100057. https://doi.org/10.20944/preprints202410.0057.v1
Feciche, B. O.; Barbos, V.; Big, A.; Porav-Hodade, D.; Cumpanas, A. A.; Latcu, S. C.; Zara, F.; Barb, A. C.; Dumitru, C.-S.; Cut, T. G.; Ismail, H.; Novacescu, D. Posterior Retroperitoneal Laparoscopic Adrenalectomy: An Anatomical Essay and Surgical Update. Preprints 2024, 2024100057. https://doi.org/10.20944/preprints202410.0057.v1
Feciche, B. O.; Barbos, V.; Big, A.; Porav-Hodade, D.; Cumpanas, A. A.; Latcu, S. C.; Zara, F.; Barb, A. C.; Dumitru, C.-S.; Cut, T. G.; Ismail, H.; Novacescu, D. Posterior Retroperitoneal Laparoscopic Adrenalectomy: An Anatomical Essay and Surgical Update. Preprints2024, 2024100057. https://doi.org/10.20944/preprints202410.0057.v1
APA Style
Feciche, B. O., Barbos, V., Big, A., Porav-Hodade, D., Cumpanas, A. A., Latcu, S. C., Zara, F., Barb, A. C., Dumitru, C. S., Cut, T. G., Ismail, H., & Novacescu, D. (2024). Posterior Retroperitoneal Laparoscopic Adrenalectomy: An Anatomical Essay and Surgical Update. Preprints. https://doi.org/10.20944/preprints202410.0057.v1
Chicago/Turabian Style
Feciche, B. O., Hossam Ismail and Dorin Novacescu. 2024 "Posterior Retroperitoneal Laparoscopic Adrenalectomy: An Anatomical Essay and Surgical Update" Preprints. https://doi.org/10.20944/preprints202410.0057.v1
Abstract
Posterior retroperitoneal laparoscopic adrenalectomy (PRLA) has emerged as a revolutionary minimally invasive technique for adrenal gland surgery, offering significant advantages over traditional open approaches. This narrative review aims to provide a comprehensive update on PRLA, focusing on its anatomical foundations, surgical technique, and clinical implications. We conducted an extensive review of the current literature and surgical practices to elucidate the key aspects of PRLA. The procedure leverages a unique "backdoor" approach, accessing the adrenal glands through the retroperitoneum, which necessitates a thorough understanding of posterior abdominal wall and retroperitoneal anatomy. Proper patient selection, meticulous surgical planning, and adherence to key technical principles are paramount for successful outcomes. The surgical technique is described step-by-step, emphasizing critical aspects such as patient positioning, trocar placement, and adrenal dissection. PRLA demonstrates reduced postoperative pain, shorter hospital stays, and faster recovery times compared to open surgery, while maintaining comparable oncological outcomes for appropriately selected cases. However, the technique presents unique challenges, including a confined working space and the need for surgeons to adapt to a posterior anatomical perspective. We conclude that PRLA, in the right clinical setting, offers a safe and effective alternative to traditional adrenalectomy approaches. Future research should focus on expanding indications and refining techniques to further improve patient outcomes.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
