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Laparoscopic surgery for adrenal tumors. A retrospective analysis
George N Zografos1, Athina Markou, Chrisanthi Ageli
1Third Department of Surgery, Athens General Hospital G. Gennimatas, Athens, Greece. gnzografos@yahoo.com
Hormones (Athens, Greece)
|May 27, 2006
Summary
Laparoscopic adrenalectomy is the preferred method for benign adrenal tumors, offering shorter hospital stays. Experienced surgeons can successfully resect large tumors laparoscopically.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Endocrinology
Background:
- Laparoscopic adrenalectomy is increasingly favored over open surgery for benign adrenal tumors.
- This study evaluates outcomes of laparoscopic versus open adrenalectomy.
Purpose of the Study:
- To compare short- and long-term results of 100 consecutive laparoscopic and open adrenalectomies.
- To assess the efficacy and safety of laparoscopic adrenalectomy for benign adrenal tumors.
Main Methods:
- Retrospective analysis of 95 patients (100 adrenalectomies) from May 1997 to August 2005.
- Tumor sizes ranged from 3.2 to 27 cm; largest laparoscopic excision was 13 cm.
Main Results:
- Laparoscopic procedure was successful in 73 patients; 8 conversions to open surgery.
- Open approach used in 14 patients.
- Average hospital stay: 1.5 days (laparoscopic) vs. 5-20 days (open/converted). One mortality from pulmonary embolus; one pancreatic fistula complication.
Conclusions:
- Laparoscopic adrenalectomy is the treatment of choice for benign adrenal tumors.
- Resection of large adrenal tumors laparoscopically requires advanced surgical skills and experience.