Laparoscopic adrenalectomy: Presentation of 43 cases

Abstract Introduction The aim of the study was to present and analyse our experience in laparoscopic adrenalectomy (LA). Materials and methods Descriptive and retrospective study including LA performed over 8 years, between 2000 and 2008 in our hospital. Results A total of 43 LA were performed in 41...

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Bibliographic Details
Published in:Cirugia española (English ed.) 2010, Vol.87 (3), p.159-164
Main Authors: Martínez Lesquereux, Lucía, Puñal, José Antonio, Paredes Cotoré, Jesús Pedro, Parada González, Purificación, Beiras Sarasquete, Carolina, Gamborino Caramés, Elena, Ladra González, María Jesús, Beiras Torrado, Alejandro
Format: Article
Language:English
Subjects:
Adrenal tumours
Adrenalectomía laparoscópica
Cirugía endocrina
Cirugía laparoscópica
Endocrinesurgery
Laparoscopic adrenalectomy
Laparoscopic surgery
Surgery
Tumores suprarrenales
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Summary:Abstract Introduction The aim of the study was to present and analyse our experience in laparoscopic adrenalectomy (LA). Materials and methods Descriptive and retrospective study including LA performed over 8 years, between 2000 and 2008 in our hospital. Results A total of 43 LA were performed in 41 patients using a transperitoneal lateral approach. Indications for adrenalectomy included hyperaldosteronism (19), non-functioning adenoma (8), pheochromocytoma (6), Cushing's syndrome (6), metastasis (3) and adrenal primary tumour (1). Median postoperative hospital stay was 3 days and the median size of the masses was 30 mm (range: 4-155 mm) Complications occurred in 3 patients (2 respiratory infections, and 1 intraoperative bleeding). There was no mortality. Only one case needed conversion to open adrenalectomy; no patients required reintervention. Conclusion Laparoscopic adrenalectomy is a safe and effective method in the treatment of adrenal masses and it can be performed with minimal risk and morbidity
ISSN:2173-5077
2173-5077
DOI:10.1016/S2173-5077(10)70176-9