Laparoscopic adrenalectomy – safety assessment
based on single center experience
Article published in Urologia Polska 2007/60/4.
Tomasz Szydełko1, Monika Bonczyk1, Jarosław Kasprzak1, Wojciech Apoznański2, Tadeusz Niezgoda1, Janusz Dembowski1, Anna Kołodziej1, Romuald Zdrojowy1
- 1Katedra i Klinika Urologii i Onkologii Urologicznej Akademii Medycznej we Wrocławiu
2Katedra i Klinika Chirurgii i Urologii Dziecięcej Akademii Medycznej we Wrocławiu
adrenal gland adrenalectomy laparoscopy
- The aim of the study.
The aim of the study was to describe the complications after laparoscopic adrenalectomies performed in
- patients with tumors of the adrenal gland.
- Material and methods.
From January 2002 to September 2008, 35 laparoscopic adrenalectomies were performed. Transperitoneal
- access was used in 21 cases, retroperitoneal – in 14. The average patients’ age was 51. The indication for the surgery was a hormonally
- active tumour. Non-active tumours were operated on if they were bigger than 4 cm in diameter or if they were found to be gradually
- increasing in successive imaging studies carried out every 6 months (USG, TK). Pre-operatively a pheochoromocytoma was diagnosed
- in 5 cases, the Conn syndrome was recognized in 2 patients and the Cushing syndrome in one case. In the remaining cases tumours
- were identified as non-active.
The mean operative time was 150 minutes. One patient had to be transfused after the procedure. There were two open
- conversions. We did not observe any serious postoperative complications. The mean hospital stay was 6 days.
Laparoscopic adrenalectomy is a safe and efficacious procedure.
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