Abstract

Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. The aim of this study is to evaluate the results of laparoscopic adrenalectomy in a single centre. Methods: We reviewed clinical data on 32 adrenalectomies performed at our istitution from 2009 to 2012. The average age of patients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioning tumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneal lateral access. Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was necessary. The median operative time and blood loss in two group were similar. Only in a case of non-functioning left adrenal mass we had a significative intraoperative blood loss managed via laparoscopy with hemostatic matrix. 3 patients with aldosteronoma became normotensive and no longer required postoperative blood pressure medications. 9 patients with Cushing adenoma had resolution or improvement of clinical signs during follow-up periods. In a case at definitive histological analysis we found an adrenocortical carcinoma treated with no capsular disruption during dissection. Conclusions: The results of this retrospective review document that laparoscopic adrenalectomy is a safe and effective treatment for functioning as well as and non-functioning adrenal tumors. Pre-operative workup plays a fundamental role in these diseases. Mere size should not be considered as a contraindication to laparoscopic approach in adrenal masses without signs of local invasion.
Original languageEnglish
Publication statusPublished - 2013

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Adrenalectomy
Glandular and Epithelial Neoplasms
Hemostatics
Adenoma
Laparoscopy
Dissection
Blood Pressure
Carcinoma
Neoplasms

Cite this

@conference{c4c875f215364a048bf95a06780b3355,
title = "LAPAROSCOPIC ADRENALECTOMY: SINGLE CENTRE EXPERIENCE.",
abstract = "Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. The aim of this study is to evaluate the results of laparoscopic adrenalectomy in a single centre. Methods: We reviewed clinical data on 32 adrenalectomies performed at our istitution from 2009 to 2012. The average age of patients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioning tumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneal lateral access. Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was necessary. The median operative time and blood loss in two group were similar. Only in a case of non-functioning left adrenal mass we had a significative intraoperative blood loss managed via laparoscopy with hemostatic matrix. 3 patients with aldosteronoma became normotensive and no longer required postoperative blood pressure medications. 9 patients with Cushing adenoma had resolution or improvement of clinical signs during follow-up periods. In a case at definitive histological analysis we found an adrenocortical carcinoma treated with no capsular disruption during dissection. Conclusions: The results of this retrospective review document that laparoscopic adrenalectomy is a safe and effective treatment for functioning as well as and non-functioning adrenal tumors. Pre-operative workup plays a fundamental role in these diseases. Mere size should not be considered as a contraindication to laparoscopic approach in adrenal masses without signs of local invasion.",
author = "Gaspare Gulotta and Giorgio Romano and Antonino Agrusa and {De Vita}, Giovanni and Giuseppe Frazzetta and Daniela Chianetta and {Di Buono}, Giuseppe",
year = "2013",
language = "English",

}

TY - CONF

T1 - LAPAROSCOPIC ADRENALECTOMY: SINGLE CENTRE EXPERIENCE.

AU - Gulotta, Gaspare

AU - Romano, Giorgio

AU - Agrusa, Antonino

AU - De Vita, Giovanni

AU - Frazzetta, Giuseppe

AU - Chianetta, Daniela

AU - Di Buono, Giuseppe

PY - 2013

Y1 - 2013

N2 - Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. The aim of this study is to evaluate the results of laparoscopic adrenalectomy in a single centre. Methods: We reviewed clinical data on 32 adrenalectomies performed at our istitution from 2009 to 2012. The average age of patients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioning tumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneal lateral access. Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was necessary. The median operative time and blood loss in two group were similar. Only in a case of non-functioning left adrenal mass we had a significative intraoperative blood loss managed via laparoscopy with hemostatic matrix. 3 patients with aldosteronoma became normotensive and no longer required postoperative blood pressure medications. 9 patients with Cushing adenoma had resolution or improvement of clinical signs during follow-up periods. In a case at definitive histological analysis we found an adrenocortical carcinoma treated with no capsular disruption during dissection. Conclusions: The results of this retrospective review document that laparoscopic adrenalectomy is a safe and effective treatment for functioning as well as and non-functioning adrenal tumors. Pre-operative workup plays a fundamental role in these diseases. Mere size should not be considered as a contraindication to laparoscopic approach in adrenal masses without signs of local invasion.

AB - Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. The aim of this study is to evaluate the results of laparoscopic adrenalectomy in a single centre. Methods: We reviewed clinical data on 32 adrenalectomies performed at our istitution from 2009 to 2012. The average age of patients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioning tumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneal lateral access. Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was necessary. The median operative time and blood loss in two group were similar. Only in a case of non-functioning left adrenal mass we had a significative intraoperative blood loss managed via laparoscopy with hemostatic matrix. 3 patients with aldosteronoma became normotensive and no longer required postoperative blood pressure medications. 9 patients with Cushing adenoma had resolution or improvement of clinical signs during follow-up periods. In a case at definitive histological analysis we found an adrenocortical carcinoma treated with no capsular disruption during dissection. Conclusions: The results of this retrospective review document that laparoscopic adrenalectomy is a safe and effective treatment for functioning as well as and non-functioning adrenal tumors. Pre-operative workup plays a fundamental role in these diseases. Mere size should not be considered as a contraindication to laparoscopic approach in adrenal masses without signs of local invasion.

UR - http://hdl.handle.net/10447/82604

M3 - Paper

ER -