Three-dimensional volume-rendered helical CT before laparoscopic adrenalectomy.

Use of three-dimensional (3D) volume-rendered helical computed tomography (CT) in surgical planning before laparoscopic adrenalectomy was evaluated in a retrospective study. In 35 consecutive patients before laparoscopic adrenalectomy, 3D volume-rendered CT scans were created from helical CT scans. Videotapes that showed anterior, lateral, posterior, and posterocephalic approaches were assessed retrospectively. The relationship (not contacting, abutting, displacing, or invading) of adrenal masses to adjacent organs (diaphragm, liver, spleen, kidneys, stomach, pancreas, and vessels) was recorded and compared with findings in surgery reports. When such findings were available, they corresponded to those in the videotape. Three-dimensional volume-rendered CT successfully displayed the relationship of adrenal masses to adjacent anatomic structures and organs before laparoscopic adrenalectomy.

[1]  R Kikinis,et al.  Three-dimensional imaging and display of renal tumors using spiral CT: a potential aid to partial nephrectomy. , 1994, Urology.

[2]  I. Lieberman,et al.  Thoracoscopic transdiaphragmatic adrenalectomy: the initial experience. , 2001, The Journal of urology.

[3]  R. Clayman,et al.  Laparoscopic adrenalectomy for solitary metachronous contralateral adrenal metastasis from renal cell carcinoma. , 1997, The Journal of urology.

[4]  M. Talamini,et al.  Laparoscopic adrenalectomy for nonmalignant disease: improved safety, morbidity, and cost-effectiveness , 1999, Surgical Endoscopy.

[5]  W. Davros,et al.  Preoperative use of 3D volume rendering to demonstrate renal tumors and renal anatomy. , 2000, Radiographics : a review publication of the Radiological Society of North America, Inc.

[6]  G. Sung,et al.  Thoracoscopic transdiaphragmatic nephrectomy: feasibility study. , 2000, Urology.

[7]  C. D. Smith,et al.  Laparoscopic Adrenalectomy: New Gold Standard , 1999, World Journal of Surgery.

[8]  S. Kageyama,et al.  Comparison of 3 surgical approaches to laparoscopic adrenalectomy: a nonrandomized, background matched analysis. , 2001, The Journal of urology.

[9]  J M Henderson,et al.  Accuracy and utility of 3‐dimensional computed tomography in evaluating donors for adult living related liver transplants , 2001, Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society.

[10]  T. Egglin,et al.  Benign and malignant adrenal masses: CT distinction with attenuation coefficients, size, and observer analysis. , 1991, Radiology.

[11]  E. Fishman,et al.  Role of CT angiography in the preoperative evaluation for laparoscopic nephrectomy. , 1998, Radiographics : a review publication of the Radiological Society of North America, Inc.

[12]  G. Sung,et al.  TECHNIQUES IN ENDOUROLOGY: Retroperitoneoscopic Adrenalectomy: Lateral Approach , 2001 .

[13]  I. Gill,et al.  Needlescopic urology: incorporating 2-mm instruments in laparoscopic surgery. , 1998, Urology.

[14]  I. Gill,et al.  Laparoscopic adrenalectomy for cancer. , 1999, Seminars in surgical oncology.

[15]  W. Young,et al.  Laparoscopic versus open posterior adrenalectomy: a case-control study of 100 patients. , 1997, Surgery.

[16]  D. Szolar,et al.  Quantitative CT evaluation of adrenal gland masses: a step forward in the differentiation between adenomas and nonadenomas? , 1997, Radiology.

[17]  L E Quint,et al.  Differentiation of adrenal adenomas from nonadenomas using CT attenuation values. , 1996, AJR. American journal of roentgenology.

[18]  G. Sung,et al.  Robotic remote laparoscopic nephrectomy and adrenalectomy: the initial experience. , 2000, The Journal of urology.

[19]  G. Glazer,et al.  Scintigraphic evaluation of clinically silent adrenal masses. , 1994, Journal of nuclear medicine : official publication, Society of Nuclear Medicine.

[20]  G. Sung,et al.  Laparoscopic adrenalectomy for large-volume (> or = 5 cm) adrenal masses. , 2000, Journal of endourology.

[21]  K. Fujita,et al.  Laparoscopic adrenalectomy for nonfunctioning adrenal tumors. , 1996, Journal of endourology.

[22]  H. Henriques,et al.  Interactive 3-dimensional computerized tomography reconstruction in evaluation of the living renal donor. , 1999, The Journal of urology.

[23]  I. Gill,et al.  Financial analysis of needlescopic versus open adrenalectomy. , 1999, The Journal of urology.

[24]  T. Imai,et al.  A case-controlled study of laparoscopic compared with open lateral adrenalectomy. , 1999, American journal of surgery.

[25]  M. Gagner,et al.  The role of intraoperative ultrasonography during laparoscopic adrenalectomy. , 1997, Surgery.

[26]  H. Ishizaka,et al.  Adrenal masses: differentiation with chemical shift, fast low-angle shot MR imaging. , 1993, Radiology.

[27]  I. Gill.  The case for laparoscopic adrenalectomy. , 2001, The Journal of urology.

[28]  A. Novick,et al.  Laparoscopic adrenalectomy: the preferred choice? A comparison to open adrenalectomy. , 1998, The Journal of urology.

[29]  W. Davros,et al.  3-dimensional volume rendered computerized tomography for preoperative evaluation and intraoperative treatment of patients undergoing nephron sparing surgery. , 1999, The Journal of urology.

[30]  C. Abbou,et al.  Laparoscopic adrenalectomy: the retroperitoneal approach. , 1998, The Journal of urology.

[31]  M. Gagner,et al.  Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma. , 1992, The New England journal of medicine.

[32]  E. Fishman,et al.  Three-dimensional CT stereoscopic visualization of renal masses: impact on diagnosis and patient treatment. , 1997, AJR. American journal of roentgenology.

[33]  Y. Tagawa,et al.  Surgical management of adrenal metastasis from bronchogenic carcinoma , 1995, Journal of surgical oncology.