Laparoscopic bilateral simultaneous adrenalectomy: results of 11 operations

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Raffaele PuglieseErika Grossrubatscher

Abstract

This study was undertaken to evaluate the outcomes of the simultaneous bilateral laparoscopic adrenalectomy. This was a retrospective study, including 11 patients with bilateral adrenal lesions, affected by Cushing's syndrome (n=2), Cushing's disease (n=6), pheochromocytoma (n=2), and 1 adrenocorticotrophin-hormone-dependent hypercortisolism of unknown origin. Elevan bilateral adrenalectomies were carried out by the laparoscopic approach with no conversions. The operations were performed in 7 cases by the lateral transperitoneal adrenalectomy (LTLA), in 3 by the posterior approach (PRA), and in 1 by the combined approach. The mean size of the masses was 5 cm. (range, 4-13). The average operating time was 245 minutes for LTLA and 218 minutes for PRA (P<0.05). The estimated mean blood loss was 87+/-36 mL (range, 20-150). No patients required transfusions. The mean hospital stay was 5+/-1.8 days (range, 4-7). The mean follow-up was 34 months (range, 2-96). Our study confirms that the bilateral adrenalectomy by the minimally invasive technique is safe and effective, affording acceptable blood loss and morbidity with a short hospital stay.

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Citations

Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Philippe RizekSabita Moktan
May 18, 2012·Cirugía española·Daniel Serralta de ColsaJosé Benito Seoane González
Sep 15, 2011·International Journal of Urology : Official Journal of the Japanese Urological Association·Yoshihide KawasakiYoichi Arai
Jan 25, 2019·Surgical Endoscopy·Andrea BallaAlessandro M Paganini
Mar 1, 2012·Arab Journal of Urology·Hassan Mesfer Al-Zahrani
Apr 9, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Halit E TaskinEren Berber

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