Laparoscopic adrenalectomy

To review indications, techniques and results of laparoscopic adrenalectomy. We retrospectively review our experience with 8 cases of transperitoneal laparoscopic adrenalectomy (2 pheochromocytomas, 4 aldosteromas, 1 myelolipoma and 1 non functioning adenoma). Mean operative time was about 3 hours,...

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Veröffentlicht in:	Archivos españoles de urología 2002-07, Vol.55 (6), p.748-755
Hauptverfasser:	Rosales Bordes, Antonio, Salvador Bayarri, José, Villavicencio Mavrich, Humberto, Vicente Rodríguez, José
Format:	Artikel
Sprache:	spa
Schlagworte:	Adenoma - surgery Adrenal Gland Neoplasms - surgery Adrenalectomy - methods Contraindications Humans Laparoscopy - methods Length of Stay Myelolipoma - surgery Pheochromocytoma - surgery Preoperative Care Retrospective Studies Treatment Outcome
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Beschreibung
Zusammenfassung:	To review indications, techniques and results of laparoscopic adrenalectomy. We retrospectively review our experience with 8 cases of transperitoneal laparoscopic adrenalectomy (2 pheochromocytomas, 4 aldosteromas, 1 myelolipoma and 1 non functioning adenoma). Mean operative time was about 3 hours, with an mean estimated blood loss of 200 cc. Mean Hospital stay was 2.5 days, complication rate was 10%, being conversion to open surgery between 5 and 10%. Laparoscopic adrenalectomy is the operation of choice for functioning adrenal tumours and for incidentally diagnosed tumours < or = 6 cm that have increased in size in successive radiographic examinations.
ISSN:	0004-0614