medigraphic.com
SPANISH

Revista Cubana de Cirugía

ISSN 1561-2945 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 3

<< Back Next >>

Revista Cubana de Cirugía 2019; 58 (3)

Laparoscopic adrenalectomy in 40 patients for the treatment of adrenal pheochromocytoma

Vilorio HPL, Martínez CO
Full text How to cite this article

Language: Spanish
References: 23
Page: 1-10
PDF size: 296.61 Kb.


Key words:

laparoscopic adrenalectomy, pheochromocytoma.

ABSTRACT

Introduction: Since 1997, laparoscopic adrenalectomy began to be performed in our center.
Objective: To analyze the results of laparoscopic adrenalectomy in the surgical treatment of pheochromocytoma in the general surgery service of the "Hermanos Ameijeiras" Surgical Clinical Hospital.
Methods: From November 1997 to June 2019, 192 adrenalectomies were performed laparoscopically in 190 patients and in 41 they were performed for adrenal pheochromocytoma, in the general surgery service of the "Hermanos Ameijeiras" Surgical Clinical Hospital. The laparoscopic technique with an intraperitoneal lateral approach was used in most cases, and the supine approach in one case for bilateral adrenalectomy.
Results: 41 laparoscopic adrenalectomies were performed in 40 patients for adrenal pheochromocytoma, in 1 patients bilateral adrenalectomy was performed at one time. The average age was 44 years. Lesions on the right side predominated in 26 patients, 14 on the left side and one bilateral. 1 patients (0.41%) were converted to conventional surgery. The average surgical time was 80 minutes. The average postoperative stay was 2.5 days. All patients were cured of high blood pressure.
Conclusions: Laparoscopic adrenalectomy is a reproducible and safe technique in the treatment of adrenal pheochromocytoma.


REFERENCES

  1. Gagner M, Lacroix A, Bolte E. Laparoscopicadrenalectomy in Cushing's syndrome and pheochromocytoma. N Engl J Med. 1992;327:1033-36.

  2. Gill i S. The case for laparoscopic adrenalectomy. J Urol. 2001;166:429-36.

  3. Winfield H, Hamilton B, Bravo E, Novick A. Laparoscopic adrenalectomy: the preferred choice? A comparison to open adrenalectomy. J Urol. 1998;160:325-29.

  4. Gill I, Hobart M, Schweizer D, Bravo E. Outpatient adrenalectomy. J Urol. 2000;163:717-19.

  5. Gagner M, Pomp A, Heniford B, Pharand D, Lacroix A. Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg. 1997;226:238-47.

  6. Hazzan D, Shiloni E, Goliljanin D. Laparoscopic vs. Open Adrenalectomy for benign adrenal neoplasm: A comparative study. SurgEndosc. 2001;15:1356-58.

  7. Brunt L, Doherty G, Norton J. Laparoscopic adrenalectomy compared to open adrenalectomy for benign adrenal neoplasms. J Am CollSurg. 1996;183:1-10.

  8. Korman J, Ho T, Hiatt R. Comparison of laparoscopic and open adrenalectomy. Am Surg. 1997;63:908-12.

  9. Castillo O, Rossi R, Amat J, Van Cauverlaert R, Poblete P, Rodríguez F, et al. Adrenalectomía Laparoscópica: Resultados de una experiencia chilena inicial. RevMéd Chile. 1999;127:304-08.

  10. Barresi R, Prinz R. Laparoscopicadrenalectomy. Arch Surg. 1999;143:212- 14.

  11. Hobart M, Gill I, Schweizer D, Sung G, Bravo E. Laparoscopic adrenalectomy for large-volume (+5 cm) adrenal masses. J Endourol. 2000;14:149-54.

  12. Novitsky Y, Czerniach D, Kercher KW, Perugini R, Kelly J, Litwin D, et al. Feasibility of laparoscopic adrenalectomy for large adrenal masses. Surg Laparosc Endosc Percut Tech. 2003;13:106-10.

  13. Meaglia J, Schmidt J. Natural history of an adrenal myelolipoma. J Urol. 1992;147:1089-90.

  14. Wrightson W, Hahm T, Hutchinson J, Cheadle W. Bilateral Giant Adrenal Myelolipomas: A case report. Am Surg. 2002;68:588-89.

  15. Lamont J, Lieberman Z, Stephens J. Giant Adrenal Myelolipoma. Am Surg. 2002;68:392-94.

  16. Bishoff J, Waguespack R, Lynch S, May D, Poremba J, Hall C, et al. Bilateral Symptomatic Adrenal Myelolipoma. J Urol. 1997;158:1517-18.

  17. El-Mekresh M, Abdel-Gawad M, EL-Diasty T, El-Baz M, Ghoneim M. Clinical, radiological and histological features of adrenal myelolipoma: review and experience with a further eight cases. Br J Urol. 1996;78:345-50.

  18. Rodríguez Maya I, Rodríguez Goncer C, Hernández D. Hipopotasemia, dato clínico clave en el diagnóstico de un hiperaldosteronismo primario. Hipertensión y Riesgo Vascular. 2016;33(2):69-73.

  19. Castillo O, Díaz M, Arellano L. Adrenalectomía parcial laparoscópica en hiperaldosteronismo primario. Revista Colombiana de Cancerología. 2016;20(4):175-82.

  20. Gutiérrez-Restrepo J, Román-González A. Síndrome de Cushing ectópico: revisión de la literatura. Revista Colombiana de Cancerología. 2016;20(4):175-82.

  21. Octavio A, Castillo C, Rodrigo Campos P, Rene Henríquez D, Juan Bravo P. Adrenalectomía laparoscópica bilateral sincrónica en feocromocitoma bilateral. Rev. Chilena de Cirugía. 2011;63(6):573-78.

  22. Castillo O, Cortes O, Kerkebe M. Cirugía laparoscópica en el tratamiento de enfermedades adrenales: experiencia en 200 casos. Actas urológicas españolas. 2006;30(9):926-32.

  23. Hallin Thompson LO, Nordenström E, Almquist M, Jacobsson H, Bergenfelz A. Risk factors for complications after adrenalectomy: results from a comprehensive national database. Langenbecks ArchSurg. 2017;402:315-22.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Cubana de Cirugía. 2019;58