Laparoscopic adrenalectomy: our preliminary experience

Romano, G.; Di Lorenzo, R.

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

NTRODUCTION: In 1992, Gagner described the first laparoscopic adrenalectomy. Since then this technique has been more and more widely employed and several studies confirmed its advantages, comparing to the traditional approach, in terms of reduction of mean hospital stay and therefore of the health expense. PATIENTS AND METHODS: The Authors' preliminary experience spreads from March to November 2003 when 4 patients were studied and thus underwent a transperitoneal laparoscopic adrenalectomy: 2 of them were affected by Cushing syndrome, 1 by pheochromocytoma in MEN and 1 by an incidentaloma. The transabdominal access in lateral decubitus with 4 trocars was performed. RESULTS: No complication was reported with a minimal need of analgesic drugs. The mean hospital stay was 4 days and all patients were discharged 48 hours after surgery. The mean diameter of nodules was 40 +/- 30 mm. The definitive histological examination showed 2 cortical adenomas, 1 diffuse cortical hyperplasia and 1 pheochromocytoma. CONCLUSIONS: This preliminary report confirms the optimal results of other experienced authors. Further interventions will be necessary for improvements and technical requirements.
Original languageItalian
Pages (from-to)238-241
Number of pages4
JournalChirurgia Italiana
Volume25
Publication statusPublished - 2004

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Romano, G.; Di Lorenzo, R. (2004). Laparoscopic adrenalectomy: our preliminary experience. Chirurgia Italiana, 25, 238-241.

Laparoscopic adrenalectomy: our preliminary experience. / Romano, G.; Di Lorenzo, R.

In: Chirurgia Italiana, Vol. 25, 2004, p. 238-241.

Research output: Contribution to journalArticle

Romano, G.; Di Lorenzo, R. 2004, 'Laparoscopic adrenalectomy: our preliminary experience', Chirurgia Italiana, vol. 25, pp. 238-241.
Romano, G.; Di Lorenzo, R. / Laparoscopic adrenalectomy: our preliminary experience. In: Chirurgia Italiana. 2004 ; Vol. 25. pp. 238-241.
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AU - Lo Monte, Attilio Ignazio

AU - Buscemi, Giuseppe

AU - Carini, Francesco

AU - Calderone, Fiorella

AU - Brischetto, Giuseppe

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AU - Luna, Emerico

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AB - NTRODUCTION: In 1992, Gagner described the first laparoscopic adrenalectomy. Since then this technique has been more and more widely employed and several studies confirmed its advantages, comparing to the traditional approach, in terms of reduction of mean hospital stay and therefore of the health expense. PATIENTS AND METHODS: The Authors' preliminary experience spreads from March to November 2003 when 4 patients were studied and thus underwent a transperitoneal laparoscopic adrenalectomy: 2 of them were affected by Cushing syndrome, 1 by pheochromocytoma in MEN and 1 by an incidentaloma. The transabdominal access in lateral decubitus with 4 trocars was performed. RESULTS: No complication was reported with a minimal need of analgesic drugs. The mean hospital stay was 4 days and all patients were discharged 48 hours after surgery. The mean diameter of nodules was 40 +/- 30 mm. The definitive histological examination showed 2 cortical adenomas, 1 diffuse cortical hyperplasia and 1 pheochromocytoma. CONCLUSIONS: This preliminary report confirms the optimal results of other experienced authors. Further interventions will be necessary for improvements and technical requirements.

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