Laparoscopic adrenalectomy: Presentation of 43 cases

Martínez Lesquereux, Lucía; Puñal, José Antonio; Paredes Cotoré, Jesús Pedro; Parada González, Purificación; Beiras Sarasquete, Carolina; Gamborino Caramés, Elena; Ladra González, María Jesús; Beiras Torrado, Alejandro

doi:10.1016/S2173-5077(10)70176-9

Información del artículo

Resumen

Bibliografía

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Estadísticas

Abstract

Introduction

The aim of the study was to present and analyse our experience in laparoscopic adrenalectomy (LA).

Materials and methods

Descriptive and retrospective study including LA performed over 8 years, between 2000 and 2008 in our hospital.

Results

A total of 43 LA were performed in 41 patients using a transperitoneal lateral approach. Indications for adrenalectomy included hyperaldosteronism (19), non-functioning adenoma (8), pheochromocytoma (6), Cushing's syndrome (6), metastasis (3) and adrenal primary tumour (1). Median postoperative hospital stay was 3 days and the median size of the masses was 30 mm (range: 4-155 mm) Complications occurred in 3 patients (2 respiratory infections, and 1 intraoperative bleeding). There was no mortality. Only one case needed conversion to open adrenalectomy; no patients required reintervention.

Conclusion

Laparoscopic adrenalectomy is a safe and effective method in the treatment of adrenal masses and it can be performed with minimal risk and morbidity

Key words:

Laparoscopic adrenalectomy

Endocrinesurgery

Laparoscopic surgery

Adrenal tumours

Resumen

Introducción

El propósito del estudio es exponer y analizar nuestra experiencia en adrenalectomía laparoscópica (AL).

Material y métodos

Estudio descriptivo y retrospectivo sobre AL realizada en nuestro centro desde enero de 2000 hasta diciembre de 2008.

Resultados

Se realizaron un total de 43 AL a 41 pacientes mediante abordaje transperitoneal lateral. La mediana de edad de los pacientes intervenidos se situó en 53 años. La principal indicación en frecuencia de nuestra serie fue el hiperaldosteronismo (19), seguido de incidentalomas (8), feocromocitomas (6), síndrome de Cushing (6), lesiones metastásicas (3) y carcinoma suprarrenal primario (1). La media de estancia hospitalaria poscirugía fue de 3 días y la media del tamaño de las masas fue de 30 mm (rango: 4-155 mm). No hubo mortalidad en nuestra serie. La necesidad de conversión se redujo a un caso; en ningún caso fue necesario reintervenir a un paciente.

Conclusiones

La AL es una técnica segura y eficaz en el tratamiento de tumores suprarrenales que puede realizarse con riesgo y morbilidad mínima.

Palabras clave:

Adrenalectomía laparoscópica

Cirugía endocrina

Cirugía laparoscópica

Tumores suprarrenales

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☆

Some of the information in the article (the experience obtained until July 2007) was presented as an oral presentation under the title “Laparoscopic Adrenalectomy” at the 16th National Surgery Meeting, held in San Sebastian in October 2007.

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