Campos-Campos SF, Lara-Olmedo JL, Cervantes-Cruz J

Language: Spanish
References: 20
Page: 73-80
PDF size: 125.29 Kb.

ABSTRACT

Objective: To present the initial experience in the surgical treatment by minimally invasive surgery of suprarenal gland diseases using an antero-lateral transperitoneal approach.
Setting: General Surgery Service of the Specialties Hospital, National Medical Center “La Raza”.
Design: Prospective, observational, descriptive study.
Statistical analysis: Simple frequencies for categorical variables, central tendency and dispersion measures for continuous variables. U Mann-Whitney and Chi square tests.
Material and methods: We analyzed 39 consecutive surgeries performed in 37 patients. Inclusion criteria were: a well-defined specific pathology of the suprarenal gland, tumor size less than 8 cm in diameter without invasion to neighboring structures, no previous surgery of the upper abdomen, and well-controlled patients in regard to co-existing pathologies. The surgical procedure of choice was the lateral transperitoneal approach. Variables were collected; simple frequencies for categorical variables, central tendency and dispersion measures for continuous variables were used for the statistical analysis. U Mann-Whitney and Chi square tests were used for specific variables.
Results: Twenty-two (59.5%) patients presented some co-morbidity. The right side was most frequently involved (64.1%) and the average tumor size of the whole group was of 4.7 ± 1.8 cm. The most frequent diagnoses were pheochromocytoma (53.8%) and adenoma (23.1%); three patients had antecedents of other endocrine pathologies. Transoperative bleeding was of 95.9 ± 10.3 ml and the average surgical time was of 134.8 ± 48.9 min. Hospital stay was of 7.7 ± 5.5 days and working leave was of 19.3 ± 2.2 days. Morbidity was of 10.2% without any deaths.
Conclusions: The inherent benefits of minimally invasive adrenalectomy surgery are confirmed with low morbidity and no mortality. Technical difficulty was greater on the left side and there was a greater potential for severe complications in the right side surgery.

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