Clinical Experience of Laparoscopic Transperitoneal Adrenalectomy.
- Author:
Tae Nam KIM
1
;
Jeong Zoo LEE
;
Moon Kee CHUNG
;
In Ju KIM
;
Yong Ki KIM
;
Wan LEE
Author Information
1. Department of Urology, College of Medicine, Pusan National University Hospital, Busan, Korea. toohotman@hanmail.net
- Publication Type:Original Article
- Keywords:
Adrenalectomy;
Laparoscopy
- MeSH:
Adenoma;
Adrenal Glands;
Adrenalectomy*;
Carcinoma, Renal Cell;
Conversion to Open Surgery;
Cushing Syndrome;
Hemorrhage;
Humans;
Hyperaldosteronism;
Intra-Abdominal Fat;
Laparoscopy;
Length of Stay;
Myelolipoma;
Operative Time;
Pathology;
Pheochromocytoma;
Teratoma;
Walking
- From:Korean Journal of Urology
2005;46(9):931-937
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: A laparoscopic procedure is considered the treatment of choice for an adrenalectomy. We report our experience of a laparoscopic transperitoneal adrenalectomy in a series of 41 patients. MATERIALS AND METHODS: Between February 1999 and September 2004, 41 consecutive patients underwent a laparoscopic transperitoneal adrenalectomy. The indications for a adrenalectomy were primary aldosteronism in 16 patients, Cushing's syndrome in 7, pheochromocytoma in 6, nonfunctional adenoma in 5, adrenal cyst in 3, benign cystic teratoma in 2, myelolipoma in 1 and metastatic renal cell carcinoma in 1. The author analyzed the results of each operation. RESULTS: The affected adrenal gland was successfully removed, with the exception of 3 cases. Conversion to open surgery was necessary in 3 of the pheochromocytoma patients due to massive intraoperative bleeding and severe adhesion to retroperitoneal fat. The mean operative time was 245.3 minutes (125-420). The mean intraoperative blood loss and adrenal mass size were 189.6ml (20-2100) and 3.6cm (1.0-10.4), respectively. The mean post-operative hospital stay was 10.4 days (5-29). The mean times to oral intake and ambulation were 1.4 (1-3) and 1.0 days (1-2) after the operation, respectively. The mean number of days of analgesic administration was 2.1 (0-6). The conversion and major complication rates were 7.3 and 10.5%, respectively. CONCLUSIONS: A laparoscopic adrenalectomy is safe and effective in nearly all adrenal pathologies, with early oral intake, ambulation and a low number of days of pain control.
