TITLE

Laparoscopic Adrenalectomy: A Worthwhile Procedure Performed in a General Surgery Department

AUTHOR(S)
Ramacciato, Giovanni; Amodio, Pietro M.; Mercantini, Paolo; Petrocca, Sergio; Di Giacomo, Giovanni; Bellagamba, Riccardo; Ziparo, Vincenzo; Lombardi, Marco; Puce, Ernesto; Stipa, Francesco
PUB. DATE
May 2003
SOURCE
American Surgeon;May2003, Vol. 69 Issue 5, p427
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A laparoscopic procedure is considered the treatment of choice for adrenalectomy. We report the experience of a nonreferring unit for adrenal pathology; we have evaluated its safety and feasibility in a series of 40 patients. From 1994 to 2001, forty consecutive patients underwent laparoscopic adrenalectomy, 37 with transperitoneal and 3 with retroperitoneal approach. The mean operative time was 129 ± 51.7 minutes (range 60-300): 107 ± 29 minutes (range 60-100) for the right-sided transperitoneal adrenalectomy and 144 ± 62 minutes (range 90-300) for the left-sided transperitoneal adrenalectomy. The mean intraoperative blood loss was 90 mL (range 40-200). The procedure laparoscopic was converted to open in one case for the presence of a voluminous angiolipoma arising from the retroperitoneal fat strictly adherent to the adrenal gland. The postoperative morbidity rate was 5.1 per cent. Pain medication was required for a mean period of 1.6 ± 0.6 days (range 1-3). The patients were able to resume solid food after an average time of 1.8 ± 0.7 days (range 1-4). Postoperative hospital stay was 3 ± 1.4 days (range 2-8). We believe that laparoscopic adrenalectomy is safe and effective in removing benign functioning or nonfunctioning adrenal masses and also in a general surgery department.
ACCESSION #
10544717

 

Related Articles

  • Laparoscopic Adrenalectomy for Adrenal Malignancy: A Preliminary Report Comparing the Short-Term Outcomes with Open Adrenalectomy. Kirshtein, Boris; Yelle, Jean D.; Moloo, Husein; Poulin, Eric // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2008, Vol. 18 Issue 1, p42 

    Background: The laparoscopic approach to adrenal malignancy remains a topic of debate. Methods: A retrospective analysis of patients who had an open or laparoscopic adrenalectomy for malignancy at a tertiary care center from 1995 to 2005 were included in this study. Results: Twenty-six cases...

  • Laparoscopic Adrenalectomy: A Cost Analysis of Three Approaches. Farres, Houssam; Felsher, Joshua; Brodsky, Jason; Siperstein, Allan; Gill, Inderbir; Brody, Fred // Journal of Laparoendoscopic & Advanced Surgical Techniques;Feb2004, Vol. 14 Issue 1, p23 

    Laparoscopic adrenalectomy (LA) is the current standard for treatment of benign adrenal disease and is performed more often now in the setting of malignant disease. Three surgical approaches, the lateral transperitoneal technique, the lateral retroperitoneal technique, and the posterior...

  • Laparoscopic Adrenalectomy: Surgical Technique. Tullavardhana, Thawatchai // World Journal of Laparoscopic Surgery;May-Aug2010, Vol. 3 Issue 2, p91 

    Laparoscopic adrenalectomy was first described in 1992 by Gagner et al. In present, this minimally invasive procedure are become "gold standard" surgical management of small and medium sized benign adrenal tumor. This review article aims to describe various type of surgical technique to perform...

  • Has experience changed the scenario in laparoscopic adrenalectomy? Dalvi, Abhay N.; Thapar, Pinky M.; Shah, Nalini S.; Menon, Padma S. // Indian Journal of Surgery;Apr2009, Vol. 71 Issue 2, p78 

    Laparoscopic adrenalectomy (LA) is a relatively uncommon operation performed by surgeons with a specific interest in endocrine surgery as well as advanced laparoscopic surgery. LA is technically difficult and it is recommended to tackle small glands first till adequate experience is reached [1]....

  • Laparoscopic lateral adrenalectomy versus open posterior adrenalectomy for the treatment of benign adrenal tumors. Hallfeldt, K.K.J.; Mussack, T.; Trupka, A.; Hohenbleicher, F.; Schmidbauer, S. // Surgical Endoscopy;Feb2003, Vol. 17 Issue 2, p264 

    Background: Minimally invasive techniques play an important role in adrenal gland surgery. The objective of this study was to compare laparoscopic transabdominal adrenalectomy in the lateral position to the open posterior adrenalectomy with respect to the intraoperative and the short-term...

  • Robot-assisted vs laparoscopic adrenalectomy. Morino, M.; Beninca, G.; Giraudo, G.; Del Genio, G. M.; Rebecchi, F.; Garrone, C. // Surgical Endoscopy;Dec2004, Vol. 18 Issue 12, p1742 

    Background: The aim of this study was to assess the benefits and disadvantages of robot-assisted laparoscopic surgery for disorders of the adrenal gland in terms of feasibility, safety. and length of hospitalization. Methods: Twenty consecutive patients with benign lesions of adrenal gland were...

  • Minimal access adrenal surgery. Brunt, L. M. // Surgical Endoscopy;Mar2006, Vol. 20 Issue 3, p351 

    Laparoscopic adrenalectomy has become the preferred method for removal of most adrenal tumors. An important component in selecting patients for this operation is to understand the clinical presentation and diagnostic workup for the various functioning and nonfunctioning adrenal tumors. In this...

  • Laparoscopic surgery and corticoadrenalomas. Nocca, D.; Aggarwal, R.; Mathieu, A.; Blanc, P. M.; Denève, E.; Salsano, V.; Figueira, G.; Sanders, G.; Domergue, J.; Millat, B.; Fabre, P. R.; Denève, E // Surgical Endoscopy;Aug2007, Vol. 21 Issue 8, p1373 

    Background: Nowadays, laparoscopic adrenalectomy is the "gold standard" procedure for the treatment of benign lesions. However, the situation is not so clearcut when the issue is laparoscopic excision of malignant adrenal tumors. We present our results of laparoscopic adrenalectomy...

  • Laparoscopic adrenalectomy: Surgical techniques. Mellon, Matthew J.; Sethi, Amanjot; Sundaram, Chandru P. // Indian Journal of Urology;Oct2008, Vol. 24 Issue 4, p583 

    Since its first description in 1992, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. The benefits of a minimally invasive approach to adrenal resection such as decreased hospital stay, shorter recovery time and improved patient...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics