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


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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Tomasz Szydełko
Klinika Urologii i Onkologii Urologicznej
ul. Borowska 213
50-556 Wrocław
tel. (071) 733 10 10