2013, Number 4
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Rev Mex Cir Endoscop 2013; 14 (4)
Laparoscopic adrenalectomy. Report of 12 cases and literature review
Bello GJA, Luna MJ, Cruz ZA, Mata QJ, Sánchez VAA
Language: Spanish
References: 39
Page: 160-164
PDF size: 208.81 Kb.
ABSTRACT
Background: Laparoscopic adrenalectomy (LA) has become the treatment of choice for benign surgical pathology of the adrenal gland. We present our experience in the workplace with this type of approach.
Material and methods: A retrospective descriptive study was conducted in our workplace on LA made between January 2004 to December 2013.
Results: A total of 12 LA were made within the prescribed period, all with transperitoneal laparoscopic approach. The mean age at presentation was 50.08 years, mainly in the femenine gender. The main preoperative diagnosis was incidentaloma (7), followed by Cushing’s syndrome (2), Conn’s syndrome (2), and pheochromocytoma (1). The average operative time was 145 minutes and average postoperative hospital stay was 2.42 days.
Conclusions: LA is a safe and effective method for the treatment of adrenal tumors with acceptable morbidity and mortality.
REFERENCES
Hansen P, Bax T, Swanstrom L. Laparoscopic adrenalectomy: history, indications, and current techniques for a minimally invasive approach to adrenal pathology. Endoscopy. 1997; 29: 309.
Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy for Cushing’s syndrome and pheochromocytoma. N Engl J Med. 1992; 327: 1033.
Gagner M, Pomp A, Heniford BT, Pharand D, Lacroix A. Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg. 1997; 226: 238-246.
Fu B, Zhang X, Wang GX, Lang B, Ma X, Li HZ, Wang BJ, Shi TP, Ai X, Zhou HX, Zheng T. Long-term results of a prospective, randomized trial comparing retroperitoneoscopic partial versus total adrenalectomy for aldosterone producing adenoma. J Urol. 2011; 185: 1578-1582.
Gonzalez RJ, Shapiro S, Sarlis N, Vassilopoulou-Sellin R, Perrier ND, Evans DB, Lee JE. Laparoscopic resection of adrenal cortical carcinoma: a cautionary note. Surgery. 2005; 138: 1078-1085.
Soon PSH, Yeh MW, Delbrige LW et al. Laparoscopic surgery is safe for large adrenal lesions. Eur J Surg Oncol. 2008; 34: 67-70.
Campos SF, Lara JL, Cervantes J. Adrenalectomía laparoscópica. Experiencia con abordaje antero-lateral transperitoneal. Cir Gen. 2009; 31: 73-80.
Sandoval MI, Jiménez JA, Leonher KL et al. Cirugía adrenal en un hospital de tercer nivel. Rev Latinoam Cir. 2013; 3: 32-37.
Acosta E, Pantoja JP, Gamino R, Rull JA, Herrera MF. Laparoscopic versus open adrenalectomy in Cushing’s syndrome and disease. Surgery. 1999; 126: 1111-1116.
Martínez L, Puñal JA, Paredes JP et al. Adrenalectomía laparoscópica: presentación de 43 casos. Cir Esp. 2010; 87: 159-164.
Álvarez D, Tuzón A, Meseguer M et al. Adrenalectomía laparoscópica: análisis de una serie de 100 Casos. Cir Esp. 2010; 87: 39-44.
Čtvrtlík V, Herman M, Študent V et al. Differential diagnosis of incidentally detected adrenal masses revealed on routine abdominal CT. Eur J Radiol. 2009; 69: 243-52.
Munver R, Fromer L, Watson RA et al. Evaluation of the incidentally discovered adrenal mass. Current Urology Reports. 2004; 5: 73-77.
Lumachi F, Borsato S, Tregnaghi A et al. CT-scan, MRI and image-guided FNA cytology of incidental adrenal masses. EJSO. 2003; 29: 689-692.
Taffe M, Haji-Momenian S, Nikolaidis P, Miller FH. Adrenal imaging: A comprehensive review. Radiol Clin N Am. 2012; 50: 219-243.
Gopan T, Remer E, Hamrahian AH. Evaluation and managing adrenal incidentalomas. Cleve Clin J Med. 2006; 73: 561-568.
Lumachi F, Borsato S, Tregnaghi A et al. High risk of malignancy in patients with incidentally discovered adrenal masses: accuracy of adrenal imaging and image-guided fine-needle aspiration cytology. Tumori. 2007; 93: 269-274.
Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol. 2008; 190: 1163-1688.
Castillo OA, Vitagliano G, Secin FP, Kerkebe M, Arellano L. Laparoscopic adrenalectomy for adrenal masses: does size matter? Urology. 2008; 71: 1138-1141.
Naya Y, Suzuki H, Komiya A, Nagata M, Tobe T, Ueda T, Ichikawa T, Igarashi T, Yamaguchi K. Laparoscopic adrenalectomy in patients with large adrenal tumors. Int J Urol. 2005; 12: 134-139.
Zografos GN, Farfaras A, Vasiliadis G, Pappa T, Aggeli C, Vasilatou E, Kaltsas G, Piaditis G. Laparoscopic resection of large adrenal tumors. JSLS. 2010; 14: 364-368.
Sharma R, Ganpule A, Veeramani M, Sabnis RB, Desai M. Laparoscopic management of adrenal lesions larger than 5 cm in diameter. J Urol. 2009; 6: 254-259.
Ramacciato G, Nigri GR, Petrucciani N, Di Santo V, Piccoli M, Buniva P et al. Minimally invasive adrenalectomy: a multicenter comparison of transperitoneal and retroperitoneal approaches. Am Surg. 2011; 77: 409-416.
Rubinstein M, Gill IS, Aron M, Kilciler M, Meraney AM, Finelli A et al. Prospective, randomized comparison of transperitoneal versus retroperitoneal laparoscopic adrenalectomy. J Urol. 2005; 174: 442-445.
Brunaud L, Bresler L, Ayav A, Zarnegar R, Raphoz AL, Levan T, Weryha G, Boissel P. Robotic-assisted adrenalectomy: what advantages compared to lateral transperitoneal laparoscopic adrenalectomy? Am J Surg. 2008; 195: 433-438.
Lezoche E, Guerrieri M, Crosta F, Lezoche G, Baldarelli M, Campagnacci R. Flank approach versus anterior sub-mesocolic access in left laparoscopic adrenalectomy: a prospective randomized study. Surg Endosc. 2008; 22: 2373-2378.
Lezoche E, Guerrieri M, Feliciotti F, Paganini AM, Perretta S, Baldarelli M et al. Anterior, lateral, and posterior retroperitoneal approaches in endoscopic adrenalectomy. Surg Endosc. 2002; 16: 96-99.
Nau P, Demyttenaere S, Muscarella P, Narula V, Hazey JW, Ellison EC, Melvin WS. Pheochromocytoma does not increase risk in laparoscopic adrenalectomy. Surg Endosc. 2010; 24: 2760-2764.
Toniato A, Boschin IM, Opocher G, Guolo A, Pelizzo M, Mantero F. Is the laparoscopic adrenalectomy for pheochromocytoma the best treatment? Surgery. 2007; 141: 723-727.
Inabnet WB, Pitre J, Bernard D, Chapuis Y. Comparison of the hemodynamic parameters of open and laparoscopic adrenalectomy for pheochromocytoma. World J Surg. 2000; 24: 574-578.
Tiberio GA, Baiocchi GL, Arru L, Agabiti Rosei C, De Ponti S, Matheis A et al. Prospective randomized comparison of laparoscopic versus open adrenalectomy for sporadic pheochromocytoma. Surg Endosc. 2008; 22: 1435-1439.
Miller BS, A mmori JB, Gauger PG et al. Laparoscopic resection is inappropriate in patients with known or suspected adrenocortical carcinoma. World J Surg. 2010; 34: 1380.
Gonzalez RJ, Shapiro S, Sarlis N et al. Laparoscopic resection of adrenal cortical carcinoma: a cautionary note. Surgery. 2005; 138: 1078.
Porpiglia F, Fiori C, Daffara F et al. Retrospective evaluation of the outcome of open versus laparoscopic adrenalectomy for stage I and II adrenocortical cancer. Eur Urol. 2010; 57: 873.
Meria P, Kempf BF, Hermieu JF, Plouin PF, Duclos JM. Laparoscopic management of primary hyperaldosteronism: clinical experience with 212 cases. J Urol. 2003; 169: 32-35.
Zeh HJ 3rd, Udelsman R. One hundred laparoscopic adrenalectomies: a single surgeon’s experience. Ann Surg Oncol. 2003; 10: 1012-1017.
Prager G, Heinz-Peer G, Passler C et al. Applicability of laparoscopic adrenalectomy in a prospective study in 150 consecutive patients. Arch Surg. 2004; 139: 46.
Constantinides VA, Christakis I, Touska P, Palazzo FF. Systematic review and meta-analysis of retroperitoneoscopic versus laparoscopic adrenalectomy. Br J Surg. 2012; 99: 1639.
Imai T, Kikumori T, Ohiwa M, Mase T, Funahashi H. A case-controlled study of laparoscopic compared with open lateral adrenalectomy. Am J Surg. 1999; 178: 50-53.