Introduction and Objectives
To evaluate the results of the method introduced in 2000 in our institution.
Material and Methods
We have retrospectively reviewed the records of patients who underwent the laparoscopic adrenalectomy between 2000–2009.
Results
The laparoscopic adrenalectomy was performed in 154 cases in above mentioned period. In 74 cases (48%) on the right, in 80 cases (52%) on the left side. The average size of the specimen was 4.5cm (1.5–12 cm). The average operating time was 64 min (38–200 min). In 15 cases there was a blood loss more than 100 ml (100–600 ml). We have experienced 3 serious perioperative complications – lesion of pancreas in 2 cases and lesion of the colon in 1 case. We had to convert to open surgery in 6 cases. Histological examination showed most frequently adrenocortical adenoma (39%), hyperplasia (24%), feochromocytoma (7%), metastatic disease (13%).
Conclusions
The laparoscopic adrenalectomy is a safe procedure with low occurrence of complications. The transperitoneal approach offers large operative field with good orientation.
Article info
Identification
Copyright
© 2009 European Association of Urology. Published by Elsevier Inc. All rights reserved.
