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Published on: June 6, 2020
Laparoscopic adrenalectomy for malignant tumors
Masatoshi Eto1, Masumitsu Hamaguchi, Masahiko Harano
1Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. etom@uro.med.kyushu-u.ac.jp
Summary
Laparoscopic adrenalectomy is a safe and effective minimally invasive treatment for malignant adrenal tumors. This study found comparable perioperative outcomes between malignant and benign adrenalectomies, with promising oncological results.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopic adrenalectomy for malignant adrenal tumors is debated.
- Comparison of outcomes for malignant versus benign adrenal tumors is needed.
Purpose of the Study:
- To compare perioperative outcomes of laparoscopic adrenalectomy for malignant versus benign adrenal tumors.
- To evaluate the oncological outcomes of laparoscopic adrenalectomy for adrenal malignancy.
Main Methods:
- Nine patients underwent laparoscopic adrenalectomy for malignancy between 1999 and present.
- Transperitoneal approach was used in all cases.
- Patients included those with and without systemic metastatic disease.
Main Results:
- Median operation time was 165 minutes with 75 mL estimated blood loss.
- No significant difference in perioperative outcomes between malignant and benign adrenalectomy.
- Seven of nine patients survived at a median follow-up of 20 months.
Conclusions:
- Laparoscopic adrenalectomy is a viable minimally invasive option for selected patients with metastatic adrenal malignancy.
- The procedure offers acceptable perioperative and oncological outcomes.