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[Laparoscopic adrenalectomy for benign adrenal tumors in pediatric surgical practice]
I V Poddubny1,2, R S Oganesyan3, K N Tolstov1,4
1A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russia, Department of Pediatric Surgery, Moscow, Russia.
Insights
Minimally invasive adrenalectomy in children demonstrated satisfactory outcomes, comparable to global data. This pediatric surgery approach for adrenal gland diseases requires close collaboration between pediatric surgeons and endocrinologists for optimal results.
Area of Science:
- Pediatric Surgery
- Endocrinology
- Oncology
Background:
- Adrenal gland diseases in children require specialized surgical approaches.
- Minimally invasive techniques are increasingly utilized for pediatric adrenalectomies.
- Data on worldwide outcomes of pediatric minimally invasive adrenalectomy are essential for comparative analysis.
Purpose of the Study:
- To evaluate the outcomes of minimally invasive adrenalectomy in pediatric patients.
- To compare the results of pediatric adrenalectomy with international findings.
- To assess the safety and efficacy of laparoscopic adrenal gland resection in children.
Main Methods:
- Retrospective analysis of 65 pediatric patients (3 months to 17 years) undergoing adrenalectomy between 2003 and 2018.
- Inclusion of patients with various organic diseases of the adrenal glands.
- Focus on endoscopic surgical procedures for adrenal lesion removal.
Main Results:
- Incidentalomas constituted 33.8% of resected tumors.
- Bilateral adrenal lesions were diagnosed in 12% of patients.
- Endoscopic surgery showed no required conversions, with minimal intraoperative bleeding in 2 patients.
Conclusions:
- Pediatric minimally invasive adrenalectomy yields satisfactory and globally comparable results.
- Successful treatment necessitates close collaboration between pediatric surgeons and endocrinologists.
- Malignancy suspicion warrants specialized oncological care in dedicated centers.
Objective:
To estimate the results of minimally invasive adrenalectomy in children and compare our data with worldwide results.
Material And Methods:
There were 65 patients aged from 3 months to 17 years with different organic diseases of adrenal glands. Children have undergone surgery for the period since 2003 to 2018.
Results:
Incidentalomas accounted 33.8% of all resected tumors. Bilateral lesion was diagnosed in 12% of patients. The largest neoplasm (12 cm) was diagnosed in a 9-year-old child. Intraoperative bleeding occurred in 2 patients. Endoscopic surgery did not require conversion in any case.
Conclusion:
We accumulated unique experience of laparoscopic resection of benign lesions of adrenal glands. Our results are satisfactory and comparable with data of other national and foreign colleagues. Only close collaboration of pediatric surgeons and endocrinologists could lead to successful and safe treatment of these patients. Patients with suspected malignancies should receive treatment at special hospitals with oncological service.
