Infragastric Laparoscopic Approach for the Left Adrenal Gland Region in Children

Introduction

Clinical and radiological investigations may show formation of a retroperitoneal mass in the left adrenal gland (LAG) or in a neighboring location. Using a laparoscopic approach to this region is both safe and reasonable and widely accepted in many centers. However, the route of the laparoscopic approach may differ, depending on the pathology and the surgeon's preference.

In a review of the literature, we found 3 different endoscopic approaches used for access to the region: a transthoracic-transdiaphragmatic, a retroperitoneal and a transabdominal approach. Transabdominal access could be achieved by retrocolic-retrosplenic, suprasplenic, supragastric, and transmesocolic routes [1] [2] [3] [4] [5] [6] [7]

In this study, a new alternative route – a laparoscopic transabdominal infragastric approach (LTIA) for the LAG region – is described in children.

References

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Correspondence