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Transperitoneal laparoscopic adrenalectomy: experience in 72 procedures.
F Porpiglia1, C Garrone, G Giraudo
1Department of Clinical and Biologic Science, San Luigi Hospital, Orbassano, Turin, Italy. porpiglia@libero.it
Journal of Endourology
|May 8, 2001
Summary
Laparoscopic adrenalectomy is safe for most adrenal masses. However, its effectiveness for large or cancerous lesions and bilateral procedures requires further study due to potential risks.
Area of Science:
- Minimally Invasive Surgery
- Endocrinology
- Surgical Oncology
Background:
- Adrenal masses require surgical intervention for various conditions.
- Transperitoneal laparoscopic adrenalectomy offers a minimally invasive approach.
Purpose of the Study:
- To assess the safety and efficacy of transperitoneal laparoscopic adrenalectomy.
- Evaluate outcomes for diverse adrenal diseases.
Main Methods:
- Seventy-two patients underwent laparoscopic adrenalectomy between 1995 and 1999.
- Indications included functioning/nonfunctioning adrenal masses and specific cases of Cushing's disease/syndrome.
- Exclusion criteria involved radiologic evidence of surrounding tissue involvement.
Main Results:
- 35 left, 33 right, and 4 bilateral adrenalectomies were performed.
- Mean operative times ranged from 130 minutes (right) to 240 minutes (bilateral).
- Conversion to laparotomy occurred in 4% of cases, with 8% experiencing intraoperative and postoperative complications.
Conclusions:
- Laparoscopic adrenalectomy is safe for most benign adrenal masses.
- Safety concerns exist for large lesions and bilateral procedures due to risks like bleeding and prolonged operative times.
- Efficacy for adrenal carcinoma requires further investigation.