Laparoskopowa adrenalektomia -- ocena bezpieczeństwa operacji na podstawie doświadczeń jednego ośrodka

Szydełko, Tomasz; Bonczyk, Monika; Kasprzak, Jarosław; Apoznański, Wojciech; Niezgoda, Tadeusz; Dembowski, Janusz; Kołodziej, Anna; Zdrojowy, Romuald
September 2008
Polish Journal of Urology / Urologia Polska;2008, Vol. 61 Issue 4, p288
Academic Journal
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. Results. 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. Conclusions. Laparoscopic adrenalectomy is a safe and efficacious procedure.


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