Related Experiment Video
Updated: May 30, 2026
05:06
Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
Published on: March 27, 2026
Laparoscopic adrenalectomy in children: a multicenter experience.
Shawn D St Peter1, Patricia A Valusek, Sarah Hill
1Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri 64108, USA. sspeter@cmh.edu
Summary
Laparoscopic adrenalectomy is a safe and effective procedure for children, with a 90% success rate and low complication risk. This approach is recommended for most pediatric adrenal lesions.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic adrenalectomy is the standard for adult benign adrenal lesions.
- Pediatric laparoscopic adrenalectomy data is limited, necessitating larger reviews.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic adrenalectomy in children.
- To analyze outcomes in a large multicenter cohort of pediatric patients.
Main Methods:
- Retrospective review of 140 pediatric patients undergoing laparoscopic adrenalectomy across 12 institutions over 10 years.
- Data collected included operative times, pathologies, conversions, and complications.
Main Results:
- Neuroblastoma (27.9%), pheochromocytoma (21.4%), and ganglioneuroma (15.7%) were common pathologies.
- Mean operative time was 130.2 minutes; 9.9% of cases required conversion to open surgery.
- Complications were rare, with one instance of renal infarction; local recurrence was observed in one patient.
Conclusions:
- Laparoscopic adrenalectomy is feasible in children for various conditions, with a 90% non-conversion rate.
- The procedure has a low risk of significant blood loss or complications.
- Laparoscopic adrenalectomy should be the preferred approach for most pediatric adrenal lesions.
