Laparoscopic adrenalectomy – safety assessment based on single center experience
Article published in Urologia Polska 2008/61/4.

authors

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

keywords

adrenal gland adrenalectomy laparoscopy

summary

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.

Results.
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.

Conclusions.
Laparoscopic adrenalectomy is a safe and efficacious procedure.

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correspondence