63250 20230421130005.0 doi 10.1097/MD.0000000000001397 sideral 92758 ART-2015-92758 eng Deus, Javier Universidad de Zaragoza (orcid)0000-0002-1253-3248 Radioguided adrenal surgery access in complex situations: Technical notes 2015 Access copy available to the general public Unrestricted The 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. info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 1.206 2015 MEDICINE, GENERAL & INTERNAL 78 / 155 = 0.503 2015 Q3 T2 0.972 2015 Medicine (miscellaneous) 2015 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Millera, Alfonso Universidad de Zaragoza (orcid)0000-0003-4444-794X Andrés, Alejandro (orcid)0000-0003-3501-0121 Prats, Enrique Universidad de Zaragoza (orcid)0000-0002-7481-1370 Gil, Ismael Universidad de Zaragoza (orcid)0000-0002-8898-204X Suarez, Manuel Universidad de Zaragoza (orcid)0000-0002-3720-220X Salcini, José L. Lahoz, Manuel Universidad de Zaragoza (orcid)0000-0002-0595-719X 1010 770 Universidad de Zaragoza Dpto. Pediatría Radiol.Med.Fís Área Radiol. y Medicina Física 1003 027 Universidad de Zaragoza Dpto. Anatom.Histolog.Humanas Area Anatom.Embriol.Humana 1004 090 Universidad de Zaragoza Dpto. Cirugía,Ginecol.Obstetr. Área Cirugía 94, 39 (2015), e1397 Medicine (Baltim.) Medicine 0025-7974 269389 http://zaguan.unizar.es/record/63250/files/texto_completo.pdf Versión publicada 8450 http://zaguan.unizar.es/record/63250/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:63250 articulos driver 2023-04-21-12:39:10 ARTICLE