000063250 001__ 63250 000063250 005__ 20230421130005.0 000063250 0247_ $$2doi$$a10.1097/MD.0000000000001397 000063250 0248_ $$2sideral$$a92758 000063250 037__ $$aART-2015-92758 000063250 041__ $$aeng 000063250 100__ $$0(orcid)0000-0002-1253-3248$$aDeus, Javier$$uUniversidad de Zaragoza 000063250 245__ $$aRadioguided adrenal surgery access in complex situations: Technical notes 000063250 260__ $$c2015 000063250 5060_ $$aAccess copy available to the general public$$fUnrestricted 000063250 5203_ $$aThe laparoscopic adrenalectomy is considered as the procedure of choice for the treatment of adrenal hyperplasia and tumor lesions. However, some special situations may limit the use of this method due to the difficulty to locate the gland and perform the lesion excision. We analyze 2 patients of a left adrenal tumor, explaining how they have overcome the difficulties in both situations. The first case was a patient with a history of intra-Abdominal surgery and the other patient suffered from severe obesity. We performed with the use of the gamma probe, and the 2 cases, was of great help to access and glandular localization. The help of gamma probe test was achieved in the surgical bed, that removal was complete. The use of the portable gamma probe facilitated the access to the left adrenal gland as well as conducting the glandular excision without delay, despite the difficulties due to the intra abdominal surgery caused by the previous surgery, and in the case of severe obesity. 000063250 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/ 000063250 590__ $$a1.206$$b2015 000063250 591__ $$aMEDICINE, GENERAL & INTERNAL$$b78 / 155 = 0.503$$c2015$$dQ3$$eT2 000063250 592__ $$a0.972$$b2015 000063250 593__ $$aMedicine (miscellaneous)$$c2015$$dQ1 000063250 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000063250 700__ $$0(orcid)0000-0003-4444-794X$$aMillera, Alfonso$$uUniversidad de Zaragoza 000063250 700__ $$0(orcid)0000-0003-3501-0121$$aAndrés, Alejandro 000063250 700__ $$0(orcid)0000-0002-7481-1370$$aPrats, Enrique$$uUniversidad de Zaragoza 000063250 700__ $$0(orcid)0000-0002-8898-204X$$aGil, Ismael$$uUniversidad de Zaragoza 000063250 700__ $$0(orcid)0000-0002-3720-220X$$aSuarez, Manuel$$uUniversidad de Zaragoza 000063250 700__ $$aSalcini, José L. 000063250 700__ $$0(orcid)0000-0002-0595-719X$$aLahoz, Manuel$$uUniversidad de Zaragoza 000063250 7102_ $$11010$$2770$$aUniversidad de Zaragoza$$bDpto. Pediatría Radiol.Med.Fís$$cÁrea Radiol. y Medicina Física 000063250 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana 000063250 7102_ $$11004$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Cirugía 000063250 773__ $$g94, 39 (2015), e1397$$pMedicine (Baltim.)$$tMedicine$$x0025-7974 000063250 8564_ $$s269389$$uhttps://zaguan.unizar.es/record/63250/files/texto_completo.pdf$$yVersión publicada 000063250 8564_ $$s8450$$uhttps://zaguan.unizar.es/record/63250/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000063250 909CO $$ooai:zaguan.unizar.es:63250$$particulos$$pdriver 000063250 951__ $$a2023-04-21-12:39:10 000063250 980__ $$aARTICLE