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[Laparoscopic adrenalectomy: presentation of 43 cases]
Lucía Martínez Lesquereux1, José Antonio Puñal, Jesús Pedro Paredes Cotoré
1Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España. lucialesquereux@hotmail.com
Introduction:
The aim of the study was to present and analyse our experience in laparoscopic adrenalectomy (LA).
Materials And Methods:
Descriptive and retrospective study including LA performed over 8 years, between 2000 and 2008 in our hospital.
Results:
A total of 43 LA were performed to 41 patients using a transperitoneal lateral approach. Indications for adrenalectomy included hyperaldosteronism (19), non-functioning adenoma (8), phaeochromocytoma (6), Cushing's syndrome (6), metastasis (3) and adrenal primary tumour (1). Median postoperative hospital stay was 3 days and the median size of the masses was 30mm (range: 4-155mm) Complications occurred in 3 patients (2 respiratory infections, and 1 intraoperative bleeding). There was no mortality. Only one case needed conversion to open adrenalectomy; no patients required reintervention.
Conclusion:
Laparoscopic adrenalectomy is a safe and effective method in the treatment of adrenal masses and it can be performed with minimal risk and morbidity.
