LAPAROSCOPIC ADRENALECTOMY: SINGLE CENTRE EXPERIENCE.

Gaspare Gulotta, Giorgio Romano, Giuseppe Di Buono, Antonino Agrusa, Daniela Chianetta, Giovanni De Vita, Giuseppe Frazzetta

Risultato della ricerca: Otherpeer review

Abstract

Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. Theaim 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 ofpatients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioningtumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneallateral access.Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was necessary. The median operativetime and blood loss in two group were similar. Only in a case of non-functioning left adrenal mass we had a significativeintraoperative blood loss managed via laparoscopy with hemostatic matrix. 3 patients with aldosteronoma becamenormotensive and no longer required postoperative blood pressure medications. 9 patients with Cushing adenoma hadresolution or improvement of clinical signs during follow-up periods. In a case at definitive histological analysis we found anadrenocortical carcinoma treated with no capsular disruption during dissection.Conclusions: The results of this retrospective review document that laparoscopic adrenalectomy is a safe and effectivetreatment for functioning as well as and non-functioning adrenal tumors. Pre-operative workup plays a fundamental role inthese diseases. Mere size should not be considered as a contraindication to laparoscopic approach in adrenal masses withoutsigns of local invasion.
Lingua originaleEnglish
Pagine78-78
Numero di pagine1
Stato di pubblicazionePublished - 2013

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