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DOI: 10.1055/s-0030-1267924
Infragastric Laparoscopic Approach for the Left Adrenal Gland Region in Children
Publikationsverlauf
Publikationsdatum:
22. November 2010 (online)

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.
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Correspondence
Dr. Baran TokarMD
Eskisehir Osmangazi University Medical School
Pediatric Surgery
Eskisehir OGU Tip Fakultesi Cocuk Cerrahisi
Meselik
26480 Eskisehir
Turkey
Telefon: +90 222 239 2979
Fax: +90 222 229 0110
eMail: btokar@ogu.edu.tr