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Published on: June 6, 2020
[Laparoscopic adrenalectomy. Analysis of 100 cases]
David Alvarez1, Alegría Tuzón, Manuel Meseguer
1Unidad Endocrino-Metabólica, Cirugía General y del Aparato Digestivo, Hospital La Fe, Valencia, España. almarda@alumni.uv.es
Background:
Laparoscopic approach is widely used in our country. This technique has dramatically improved the outcome after surgery, reducing pain, morbidity, hospital stay, and promoting early patient mobilization.
Objective:
This study presents 10 years experience and the first 100 adrenalectomies using laparoscopy performed between 1996 and 2007 in Hospital La Fe, Valencia, Spain.
Methods:
A descriptive and prospective study was designed, 100 consecutive cases were included. Sixty-seven variables were analysed; these variables were influenced by factors depending on patient susceptibility, surgical technique, surgeon, as well as in-surgery and post-surgery complications.
Results:
None of the patients in our series died. In the follow-up, only minor complications were reported: nosocomial pneumonia (1 patient), small eventration (2 patients), haematomas (2 patients), and infection at surgery site (2 patients). None of the complications required surgery.
Conclusions:
We conclude that adrenalectomy by the laparoscopic approach could be the gold standard technique in a variety of patients with adrenal tumours. However, these should be performed within a specialised endocrinology surgery unit.

