Laparoscopic adrenalectomy – safety assessment
based on single center experience
Article published in Urologia Polska 2008/61/4.
Tomasz Szydełko1, Monika Bonczyk1, Jarosław Kasprzak1, Wojciech Apoznański2, Tadeusz Niezgoda1, Janusz Dembowski1, Anna Kołodziej1, Romuald Zdrojowy1
- 1Katedra i Klinika Urologii i Onkologii Urologicznej Akademii Medycznej we Wrocławiu
2Katedra i Klinika Chirurgii i Urologii Dziecięcej Akademii Medycznej we Wrocławiu
adrenal gland adrenalectomy laparoscopy
- The aim of the study.
The aim of the study was to describe the complications after laparoscopic adrenalectomies performed in
- patients with tumors of the adrenal gland.
- Material and methods.
From January 2002 to September 2008, 35 laparoscopic adrenalectomies were performed. Transperitoneal
- access was used in 21 cases, retroperitoneal – in 14. The average patients’ age was 51. The indication for the surgery was a hormonally
- active tumour. Non-active tumours were operated on if they were bigger than 4 cm in diameter or if they were found to be gradually
- increasing in successive imaging studies carried out every 6 months (USG, TK). Pre-operatively a pheochoromocytoma was diagnosed
- in 5 cases, the Conn syndrome was recognized in 2 patients and the Cushing syndrome in one case. In the remaining cases tumours
- were identified as non-active.
The mean operative time was 150 minutes. One patient had to be transfused after the procedure. There were two open
- conversions. We did not observe any serious postoperative complications. The mean hospital stay was 6 days.
Laparoscopic adrenalectomy is a safe and efficacious procedure.
- Gagner M, Lacroix A, Bolte E: Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. Letter to editor. N Engl J Med 1992, 327, 1033.
- Suzuki K: Laparoscopic adrenalectomy, retroperitoneal approach. Urol Clin N Amer 2001, 28, 85-95.
- Hamilton BD: Transperitoneal laparoscopic adrenalectomy. Urol Clin N Amer 2001, 28, 61-70.
- Oglivie JB, Duh QY: New approaches to the minimally invasive treatment of adrenal lesions. Cancer J 2005, 11 (1) ,64-72.
- Micali S, Peluso G, De SS: Laparoscopic adrenal surgery, new frontiers. J Endourol 2005, 19 (3), 272-278.
- Ariyan Ch, Strong VE: The current status of laparoscopic adrenalectomy. Adv Surg 2007, 41, 133-153.
- Tai CK, Li SK, Hou SM et al: Laparoscopic adrenalectomy, Comparison of lateral transperitoneal and lateral retroperitoneal approaches. Surg Laparosc Endosc Percutan Tech 2006, 16, 141-145.
- Inabnet WB, Pitre J, Bernard D: Comparison of the hemodynamic parameters of open and laparoscopic adrenalectomy for pheochromocytoma. World J Surg 2000, 24, 574-578.
- Prager G, Heinz-Peer G, Passler C et al: Applicability of laparoscopic adrenalectomy in a prospective study in 150 consecutive patients. Arch Surg 2004, 139, 46-49.
- Gonzales RJ, Shapiro S, Sarlis N et al: Laparoscopic resection of adrenal cortical carcinoma, a cautionary note. Surgery 2005, 138,1 078-1085.
- Henry JF, Sebag F, Jacobone M et al: Results of laparoscopic adrenalectomy for large and potentially malignant tumors. World J Surg 2002, 26, 1043-1047.
- Icard P, Chapuis Y, Andreassian B et al: Adrenocortical carcinoma in surgically treated patients, a retrospective study on 156 cases by the French Association of Endocrine Surgery. Surgery 1992, 112, 972-979.
- Terachi T, Matsuda T, Terai A et al: Transperitoneal laparoscopic adrenalectomy, Experience in 100 patients. J Endourol 1997, 11, 361-365.
- Shichman SJ, Herndon CD, Sosa RE, Whalen GF et AK: Lateral transperitoneal laparoscopic adrenalectomy. World J Urol 1999, 17, 48-53.
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