{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T09:12:05Z","timestamp":1768641125150,"version":"3.49.0"},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T00:00:00Z","timestamp":1655683200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2022,6,20]]},"abstract":"\n C\u00e9lkit\u0171z\u00e9s<\/jats:title>\n Vizsg\u00e1latunk c\u00e9lja a\u00a0Szegedi Tudom\u00e1nyegyetem Seb\u00e9szeti Klinik\u00e1n v\u00e9gzett retroperitonealis (RP) \u00e9s transperitonealis (TP) adrenalectomi\u00e1k operat\u00edv \u00e9s perioperat\u00edv eredm\u00e9nyeinek bemutat\u00e1sa volt.<\/jats:p>\n <\/jats:sec>\n \n Betegek \u00e9s m\u00f3dszer<\/jats:title>\n Retrospekt\u00edv cohort vizsg\u00e1latunkban 1998\u20132021 k\u00f6z\u00f6tt v\u00e9gzett 174 adrenalectomia (28 RP; 146\u2009TP) k\u00f6vetkez\u0151 param\u00e9tereit \u00e9rt\u00e9kelt\u00fck: kor\u00e1bbi hasi m\u0171t\u00e9tek ar\u00e1nya, konverzi\u00f3s ar\u00e1ny, m\u0171t\u00e9ti id\u0151, intraoperat\u00edv v\u00e9rveszt\u00e9s, tumorm\u00e9ret, sz\u00f6vettan, k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1si id\u0151, valamint korai \u00e9s k\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9ny r\u00e1ta.<\/jats:p>\n <\/jats:sec>\n \n Eredm\u00e9nyek<\/jats:title>\n TP eset\u00e9ben szignifik\u00e1nsan magasabb kor\u00e1bbi hasi m\u0171t\u00e9tek (TP vs RP: 68 [46,57%] vs. 4 [14%] P<\/jats:italic> = 0,0021) mellett a\u00a0konverzi\u00f3s ar\u00e1nyban jelent\u0151s k\u00fcl\u00f6nbs\u00e9g nem mutatkozott (TP vs. RP: 7 [4,79%] vs. 5 [18%], P<\/jats:italic> = 0,312). TP-technik\u00e1val szignifik\u00e1nsan nagyobb tumorok elt\u00e1vol\u00edt\u00e1sa t\u00f6rt\u00e9nt (TP vs. RP: 58,05\u2009mm vs. 34,8\u2009mm, P<\/jats:italic> = 0,016), az intraoperat\u00edv v\u00e9rveszt\u00e9sben azonban jelent\u0151s k\u00fcl\u00f6nbs\u00e9g nem mutatkozott (TP vs. RP: 67,85\u2009ml vs. 50,2\u2009ml, P<\/jats:italic> = 0,157), illetve a\u00a0m\u0171t\u00e9ti id\u0151 alakul\u00e1s\u00e1ban a\u00a0TP-csoportban szignifik\u00e1nsan jobb eredm\u00e9nyeket tal\u00e1ltunk (TP vs. RP: 86,3 perc vs. 134,5 perc, P<\/jats:italic> = 0,024). A\u00a0leggyakoribb sz\u00f6vettani lelet az adenoma volt (TP vs. RP: n<\/jats:italic>\u00a0=\u00a095, 65,06% vs. 18 [64,3%]). A\u00a0TP-csoportban 19 malignus l\u00e9zi\u00f3 (13,01%) fordult el\u0151, m\u00edg RP-ben malignus tumor elt\u00e1vol\u00edt\u00e1s nem t\u00f6rt\u00e9nt. Pheochromocytoma TP-ben 11 (7,53%), m\u00edg RP-ben 5 (17,8%) esetben fordult el\u0151. A\u00a0k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1sban szignifik\u00e1ns k\u00fcl\u00f6nbs\u00e9g nem mutatkozott (TP vs. RP: 5,125 nap vs. 4,61 nap, P<\/jats:italic> = 0,413). Korai sz\u00f6v\u0151dm\u00e9ny TP-ben \u00f6t (l\u00e9ps\u00e9r\u00fcl\u00e9s, posztoperat\u00edv l\u00e1z, s\u00falyos intraoperat\u00edv v\u00e9rz\u00e9s, s\u00falyos fok\u00fa hyperkalaemia, m\u0171t\u00e9tiseb-szuppur\u00e1ci\u00f3), m\u00edg RP-ben k\u00e9t esetben (2\u00a0alkalommal s\u00falyos intraoperat\u00edv v\u00e9rz\u00e9s) fordult el\u0151. TP-csoportban egy posztoperat\u00edv hal\u00e1leset t\u00f6rt\u00e9nt kamrafibrill\u00e1ci\u00f3 miatt. K\u00e9s\u0151i sz\u00f6v\u0151dm\u00e9nyek k\u00f6z\u00fcl TP-ben egy alkalommal fordult el\u0151 posztoperat\u00edv hasfali s\u00e9rv.<\/jats:p>\n <\/jats:sec>\n \n K\u00f6vetkeztet\u00e9sek<\/jats:title>\n Mindk\u00e9t m\u00f3dszer biztons\u00e1gos \u00e9s j\u00f3l standardiz\u00e1lhat\u00f3. Saj\u00e1t vizsg\u00e1latunkban az RP-adrenalectomi\u00e1k kisebb elv\u00e1ltoz\u00e1sok elt\u00e1vol\u00edt\u00e1s\u00e1ban, m\u00edg a\u00a0TP-technika szignifik\u00e1nsan r\u00f6videbb m\u0171t\u00e9ti id\u0151vel nagy m\u00e9ret\u0171 \u00e9s malignus tumorok resecti\u00f3j\u00e1ra is alkalmasnak bizonyult.<\/jats:p>\n <\/jats:sec>","DOI":"10.1556\/1046.2022.20016","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T15:51:08Z","timestamp":1655913068000},"page":"194-199","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Minim\u00e1lisan invaz\u00edv adrenalectomia \u2013 23 \u00e9v alatt v\u00e9gzett transperitonealis \u00e9s retroperitonealis adrenalectomi\u00e1k operat\u00edv \u00e9s perioperat\u00edv eredm\u00e9nyei a\u00a0Szegedi Tudom\u00e1nyegyetem Seb\u00e9szeti Klinik\u00e1n"],"prefix":"10.1556","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7743-7775","authenticated-orcid":true,"given":"Aur\u00e9l","family":"Ottlak\u00e1n","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"Paszt","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsolt","family":"Simonka","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Szabolcs","family":"\u00c1brah\u00e1m","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csenge","family":"Vass","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krisztina","family":"Varga","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadett","family":"Borda","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rton","family":"Vas","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1d\u00e1m","family":"Balogh","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"L\u00e1z\u00e1r","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Klinika, Szeged, Magyarorsz\u00e1g (tansz\u00e9kvezet\u0151: Prof. Dr. L\u00e1z\u00e1r Gy\u00f6rgy)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"issue":"3","key":"B1","series-title":"Ann Surg","first-page":"238","article-title":"Laparoscopic ad renalectomy lessons learned from 100 consecutive procedures","volume":"226","author":"Gagner \n M","year":"1997","unstructured":"Gagner \n M\n , \n Pomp \n A\n , \n Heniford \n BT\n , \n Pharand \n D\n , \n Lacroix \n A\n \n . Laparoscopic ad renalectomy lessons learned from 100 consecutive procedures. Ann Surg \n 1997; 226(3): 238\u2013247."},{"issue":"4","key":"B2","series-title":"J Laparoendosc Adv Surg Tech A","first-page":"362","article-title":"Comparsion of transperitoneal versus retroperitoneal laparoscopic adrenalectomy in a\u00a0prospective randomized study","volume":"23","author":"Mohammadi-Fallah \n MR","year":"2013","unstructured":"Mohammadi-Fallah \n MR\n , \n Mehdizadeh \n A\n , \n Badalzadeh \n A\n , \n Izadseresht \n B\n , \n Dadkhah \n N\n , \n Barbod \n A\n , et\u00a0al.\n \n Comparsion of transperitoneal versus retroperitoneal laparoscopic adrenalectomy in a\u00a0prospective randomized study. 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Orv Hetil \n 2017; 158(45): 1802\u20131807."},{"issue":"6","key":"B8","series-title":"Surg Endosc","first-page":"5421","article-title":"Laparoscopic transperitoneal and retroperitoneal adrenalectomy: a\u00a020-year, single-institution experience with an analysis of the learning curve and tumor size [lap transper and retroper adrenalectomy]","volume":"34","author":"Ottlakan \n A","year":"2020","unstructured":"Ottlakan \n A\n , \n Paszt \n A\n , \n Simonka \n Z\n , \n \u00c1brah\u00e1m \n S\n , \n Borda \n B\n , \n Vas \n M\n , et\u00a0al.\n \n Laparoscopic transperitoneal and retroperitoneal adrenalectomy: a\u00a020-year, single-institution experience with an analysis of the learning curve and tumor size [lap transper and retroper adrenalectomy]. 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Urology \n 2013; 82(6): 1312\u20131319."},{"issue":"2","key":"B12","series-title":"Urology","first-page":"348","article-title":"Anatomic retroperitoneoscopic adrenalectomy for selected adrenal tumors >5 cm: our technique and experience","volume":"78","author":"Wang \n B","year":"2011","unstructured":"Wang \n B\n , \n Ma \n X\n , \n Li \n H\n , \n Shi \n T\n , \n Hu \n D\n , \n Fu \n B\n , et\u00a0al.\n \n Anatomic retroperitoneoscopic adrenalectomy for selected adrenal tumors >5 cm: our technique and experience. 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Comparison between retroperitoneal and transperitoneal laparoscopic adrenalectomy: are both equally safe? \n J Visc Surg \n 2021; 158(6): 204\u2013210."},{"issue":"3","key":"B15","series-title":"Surg Endosc","first-page":"1101","article-title":"Comparison of synchronous bilateral transperitoneal and posterior retroperitoneal laparoscopic adrenalectomy: results of a\u00a0multicenter study","volume":"35","author":"Tuncel \n A","year":"2021","unstructured":"Tuncel \n A\n , \n Langenhuijsen \n J\n , \n Erkan \n A\n , \n Mikhaylikov \n T\n , \n Arslan \n M\n , \n Aslan \n Y\n , et\u00a0al.\n \n Comparison of synchronous bilateral transperitoneal and posterior retroperitoneal laparoscopic adrenalectomy: results of a\u00a0multicenter study. Surg Endosc \n 2021; 35(3): 1101\u20131107."},{"issue":"6","key":"B16","series-title":"Surgery","first-page":"1211","article-title":"Is previous same quadrant surgery a\u00a0contraindication to laparoscopic adrenalectomy?","volume":"152","author":"Mazeh \n H","year":"2012","unstructured":"Mazeh \n H\n , \n Froyshteter \n AB\n , \n Wang \n TS\n , \n Amin \n AL\n , \n Evans \n DB\n , \n Sippel \n RS\n , et\u00a0al.\n \n Is previous same quadrant surgery a\u00a0contraindication to laparoscopic adrenalectomy? \n Surgery \n 2012; 152(6): 1211\u20131217."},{"issue":"11","key":"B17","series-title":"J Endourol","first-page":"1333","article-title":"Predictive factors for open conversion of laparoscopic adrenalectomy: a\u00a013-year review of 456 cases","volume":"21","author":"Shen \n ZJ","year":"2007","unstructured":"Shen \n ZJ\n , \n Chen \n SW\n , \n Wang \n S\n , \n Jin \n XD\n , \n Chen \n J\n , \n Zhu \n Y\n , et\u00a0al.\n \n Predictive factors for open conversion of laparoscopic adrenalectomy: a\u00a013-year review of 456 cases. 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Orv Hetil \n 2020; 161(47): 2006\u20132010."},{"issue":"6","key":"B20","series-title":"J Endourol","first-page":"971","article-title":"Laparoscopic adrenalectomy for large adrenal masses: pushing the envelope","volume":"23","author":"Boylu \n U","year":"2009","unstructured":"Boylu \n U\n , \n Oommen \n M\n , \n Lee \n BR\n , \n Thomas \n R\n \n . Laparoscopic adrenalectomy for large adrenal masses: pushing the envelope. J Endourol \n 2009; 23(6): 971\u2013975."},{"issue":"8","key":"B21","series-title":"World J Urol","first-page":"1103","article-title":"Ten year experience of retroperitoneal laparoscopic resection for pheochromocytomas: a\u00a0dual-centre study of 72 cases","volume":"33","author":"De Fourmestraux \n A","year":"2015","unstructured":"De Fourmestraux \n A\n , \n Salomon \n L\n , \n Abbou \n CC\n , \n Grise \n P\n \n . Ten year experience of retroperitoneal laparoscopic resection for pheochromocytomas: a\u00a0dual-centre study of 72 cases. 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