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Laparoscopic adrenalectomy for benign adrenal neoplasms
R L Soares1, J Monchik, S J Migliori
1Department of Surgery, Rhode Island Hospital/Brown University, Providence RI 02903, USA.
Surgical Endoscopy
|December 31, 1998
Summary
Laparoscopic adrenalectomy is a cost-effective treatment for small adrenal tumors, offering shorter recovery times and less pain compared to open surgery.
Area of Science:
- Minimally Invasive Surgery
- Endocrinology
- Surgical Oncology
Background:
- Laparoscopic adrenalectomy, introduced in 1992, is used for various adrenal neoplasms.
- Clear indications and cost-effectiveness compared to open adrenalectomy remain undefined.
Purpose of the Study:
- To compare laparoscopic and open adrenalectomy for benign adrenal neoplasms.
- To evaluate cost-effectiveness and clinical outcomes of both surgical approaches.
Main Methods:
- Retrospective comparison of 19 laparoscopic and open adrenalectomies.
- Study conducted in a tertiary-care university teaching hospital over 3 years.
- Patients had benign adrenal neoplasms.
Main Results:
- Laparoscopic adrenalectomy was successful in 11 of 12 attempted cases.
- Laparoscopic group showed smaller tumors, shorter operative time, reduced ileus and hospital stay, and less blood loss and narcotic use.
- No significant difference in operating room or hospital charges between groups.
Conclusions:
- Laparoscopic adrenalectomy is cost-effective for small benign adrenal neoplasms.
- This minimally invasive approach should be the preferred treatment option.