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Laparoscopic adrenalectomy: 10-year experience, 67 procedures
Nasser Simforoosh1, Heshmatollah Soufi Majidpour, Abbas Basiri
1Department of Urology, Shahid Labbafinejad Medical Center & Urology and Nephrology Research Center, Shahid Beheshti University (MC), Tehran, Iran. simforoosh@iurtc.org.ir
Urology Journal
|May 6, 2008
Summary
Laparoscopic adrenalectomy is a safe and effective procedure for various adrenal tumors, offering a viable option for selected large adrenal masses when complete removal is possible.
Area of Science:
- Minimally Invasive Surgery
- Endocrinology
- Surgical Oncology
Background:
- Laparoscopic adrenalectomy has become a standard surgical approach.
- Evaluating the outcomes of this minimally invasive technique is crucial for patient care.
Purpose of the Study:
- To assess the short-term and long-term results of laparoscopic adrenalectomies.
- To analyze the safety and efficacy of the procedure in a tertiary care center.
Main Methods:
- Retrospective review of 67 laparoscopic adrenalectomies performed between 1995 and 2005.
- Utilized transperitoneal lateral (97.0%) and retroperitoneal (3.0%) approaches.
- Clinical characteristics and outcomes were analyzed.
Main Results:
- Common indications included pheochromocytoma (41.8%) and aldosterone-producing adenoma (22.4%).
- Mean operative time was 149.0 minutes, with mean blood loss of 126 mL.
- Conversion to open surgery occurred in 7.5% of cases, with one reoperation for hemorrhage.
Conclusions:
- Laparoscopic adrenalectomy is a safe procedure for select adrenal tumors.
- It is a reasonable option for large adrenal tumors if complete resection is feasible and no local invasion is present.
