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[Laparoscopic adrenalectomy]
Jaime Ruiz-Tovar1, Joaquín Pérez de Oteyza, Natalia Alonso Hernández
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Ramón y Cajal, Madrid, España. jrtovar@wanadoo.es
Introduction:
In the last few years, laparoscopic adrenalectomy has become widely used in the management of adrenal disease.
Material And Method:
We reviewed our experience of 24 patients who underwent laparoscopic adrenalectomy between 1998 and 2006.
Results:
Surgery was indicated for Cushing's syndrome in 46% of the patients, aldosteronoma in 25%, incidentaloma in 21% and pheochromocytoma in 8%. A lateral transabdominal approach was employed in all patients. The mean age of the patients was 50.4 years (17 women and 7 men). Left unilateral adrenalectomy was performed in 63% of the patients, right unilateral adrenalectomy in 29% and bilateral adrenalectomy in 8%. The conversion rate was 4%. The mean operating time was 134 minutes in unilateral approaches and 245 minutes in bilateral approaches. The mean size of the gland was 4 cm. The complications rate was 4% and there was no mortality. Disease control was achieved in 96% of the patients after a mean follow-up of 49 months.
Conclusions:
Laparoscopic adrenalectomy should be considered the procedure of choice for the surgical management of benign adrenal disease.