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[Laparoscopic adrenalectomy for metachronous metastasis. Experience in 12 cases]
J I Pascual Piédrola1, A Rincón Mayans, E Tolosa Eizaguirre
1Departamento de Urología, Clínica Universidad de Navarra, Pamplona, Navarra, España. ipascualp@unav.es
Objective:
To assess the peroperative and oncological results of laparoscopic adrenalectomy for an isolated metastasis.
Material And Methods:
A retrospective, descriptive study was conducted of 12 laparoscopic adrenalectomies performed for metastases out of a total of 40 adrenalectomies performed from May 1998 to April 2009. The primary tumor was pulmonary in 7 patients, renal in 3, and colonic in 2. Demographic data collected included median age, operating time, blood loss, complications, tumor size, and length of hospital stay. The Kaplan-Meier method was used to analyze survival.
Results:
Operating time was 150 min (range, 90-206). Peroperative bleeding was 60 ml (range, 15-150). Peroperative complications occurred in 3% of patients. Tumor size was 4.5 cm (range, 1.3-8.5). No positive margins were seen in the resected specimens. Hospital stay was 3 days (range 3-5). Actuarial survival was 55.6% at 23 months (range, 2-38) with mean and median follow-up times of 20.9 and 23 months.
Conclusions:
In selected patients, laparoscopic adrenalectomy for metastasis is a safe procedure with oncological results superimposable to those of open surgery.
