PMID: 8977070Jan 1, 1996Paper

Technique and results of laparoscopic adrenalectomy

European Urology
G JanetschekG Bartsch

Abstract

Our technique of laparoscopic adrenalectomy as well as the results of this method are presented. Transperitoneal laparoscopic adrenalectomy was performed in 18 consecutive patients (10 right side, 8 left side) for Conn's disease (7 patients), pheochromocytoma (6 patients), Cushing's syndrome (1 patient), and large inactive adenoma (4 patients). The tumor size ranged between 1 and 8 cm (mean 4.2). One of the patients, who presented with Conn's disease and bilateral adenoma, underwent enucleation of the larger adenoma on the right side leaving the uninvolved portion of the adrenal gland intact. The mean operative time was below 3 h; blood loss was minimal in all cases except 2. Hypertensive crisis was not encountered in this series. The only postoperative complication seen was transient diabetes insipidus which occurred in 1 patient. Analgesics were required only on the first 2 postoperative days. Oral intake and ambulation were resumed within 24 h. Mean postoperative hospitalization was 4.6 days. In our hands, laparoscopic adrenalectomy proved to be associated with a low morbidity and few complications. In addition, it is one of the few procedures where laparoscopy can compete with open surgery in terms of operative time.

Citations

Apr 1, 1997·Journal of Endourology·G JanetschekG Bartsch
Mar 1, 2012·Arab Journal of Urology·Hassan Mesfer Al-Zahrani
May 8, 2001·Journal of Endourology·F PorpigliaM Morino
Jul 2, 2005·Journal of Endourology·Nobuo TsuruSeiichiro Ozono
Dec 22, 2004·Current Urology Reports·Joseph J Del PizzoE Darracott Vaughan
Jun 7, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
Mar 4, 2009·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Lísias N CastilhoCarlos A dos Santos Junior
Aug 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Octavio A CastilloMario Contreras
Oct 28, 2004·Journal of Endocrinological Investigation·F PorpigliaM Terzolo
Sep 25, 2008·Journal of Endourology·Nobuo TsuruKazuo Suzuki
May 24, 2001·The Journal of Urology·L SalomonC C Abbou
Apr 15, 2004·Endocrine Reviews·Georg MansmannStefan R Bornstein
Nov 16, 2004·BJU International·Francesco PorpigliaRoberto M Scarpa

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