<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202016000200019</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.noviembre.19-20</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[SUPRARRENALECTOMÍA VIDEOLAPAROSCÓPICA TRANSPERITONEAL: NUESTRA EXPERIENCIA]]></article-title>
<article-title xml:lang="en"><![CDATA[TRANSPERITONEAL LAPAROSCOPIC SUPRARRENALECTOMY: OUR EXPERIENCE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farina]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pederzoli]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa]]></surname>
<given-names><![CDATA[Ever]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas II Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>11</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>19</fpage>
<lpage>20</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202016000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202016000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202016000200019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El abordaje laparoscópico representa el tratamiento quirúrgico ideal de las enfermedades de las glándulas suprarrenales, debido a las ventajas respecto a las técnicas abiertas en cuanto a seguridad, eficacia, menor morbilidad y pronta recuperación del paciente.  Objetivo:  Describir nuestros resultados en suprarrenalectomía videolaparoscópica transperitoneal.  Pacientes y método:  Observacional, descriptivo, retrospectivo, de corte transverso. Se presentan 14 casos de pacientes sometidos a suprarrenalectomía videolaparoscópica en un periodo de 2004 a 2016, con los diagnósticos de feocromocitomas en 8 casos, 2 adenomas con síndrome de Cushing, 1 adenoma no funcionante, 1 mielolipoma, 1 síndrome de Conn y 1 quiste epitelial benigno. Describimos la localización, el tamaño, el tiempo quirúrgico y de hospitalización, la pérdida sanguínea, complicaciones y evolución.  Resultados:  Fueron 13 mujeres y un varón, con edades comprendidas entre 18 a 55 años (promedio 31,1 años). Hubo equivalencia en cuanto a la localización izquierda y derecha. El tamaño varió de 5 a 10 cm (promedio de 8 cm). La media del tiempo quirúrgico fue de 125 min y de hospitalización de 3,5 días. El sangrado operatorio medio fue de 90 cc (de 30 a 260 cc). Como complicaciones tuvimos un caso de sangrado intraoperatorio a través de uno de los puertos, que se consigue cohibir mediante punto hemostático transparietal y otro caso de neumótorax derecho post punción de catéter de vía venosa central pre operatorio que requirió la colocación de un tubo de drenaje pleural. En ningún caso fue necesaria la conversión a cirugía abierta. No tuvimos óbitos.  Conclusiones:  En nuestra experiencia la suprarrenalectomía videolaparoscópica trasperitoneal es una técnica segura para el tratamiento de las enfermedades de las glándulas suprarrenales, con 14,3% de complicaciones y ningún óbito, así como estadía hospitalaria corta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The laparoscopic approach for adrenal tumors are the best option because of his safety to perform, poor or nothing morbidity and fast recovery.  Objective:  to describe the results of transperitoneal laparoscopic suprarrenalectomy (TLS).  Patient and method:  an observational, retrospective study of 14 patients who underwent TLS between 2004 to 2016.  Results:  13 women and 1 man, with a range of age of 18 to 55 years, without difference of tumor localization side. The average size of the tumor was 8 cm and the OR time 125 min in most of the cases. The average of discharge from hospital was 3,5 days. The complications presented were a trocar hemorrhage resolved with a stich and a pneumothorax after yugular punction that required a pleural drainage.  Conclusions:  The TLS is a safety technique for adrenal tumors, with a complication rate of 14,3% and a short hospital admission.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[suprarrenalectomia]]></kwd>
<kwd lng="es"><![CDATA[glandula adrenal]]></kwd>
<kwd lng="es"><![CDATA[laparoscopia.]]></kwd>
<kwd lng="en"><![CDATA[suprarrenalectomy]]></kwd>
<kwd lng="en"><![CDATA[adrenal gland]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy.]]></kwd>
</kwd-group>
</article-meta>
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