Effectiveness and safety of laparoscopic adrenalectomy.

Abstract

A laparoscopic approach was used to remove the adrenal gland in 7 patients with aldosterone-producing adenoma (Conn's disease), 2 with corticosteroid-producing adenoma (pituitary-independent Cushing's syndrome) and 2 with pheochromocytoma. The affected gland was on the right side in 3 patients and on the left side in 8. Mean operative time was 3 hours 10 minutes (range 140 to 370 minutes). The operation was uneventful in all patients and blood transfusions were never required. Mean postoperative hospitalization was 2.9 +/- 0.8 days (standard error). Only minimal doses of analgesics were used postoperatively. All patients returned to work within 10 days postoperatively (mean 8.4 +/- 1.2 days). Two months postoperatively no patient had clinical, biochemical or hormonal evidence of recurrent or persistent disease. We conclude that laparoscopic adrenalectomy is a safe and effective, minimally invasive approach for patients with benign adrenal neoplasms.

• Authors: G Guazzoni, F Montorsi, F Bergamaschi, P Rigatti, G Cornaggia, R Lanzi, A E Pontiroli
• Journal: The Journal of urology (J Urol) Vol. 152 Issue 5 Pt 1 Pg. 1375-8 (Nov 1994) ISSN: 0022-5347 [Print] United States
• PMID: 7933163 (Publication Type: Journal Article)

Topics

• Adrenal Gland Neoplasms (surgery)
• Adrenalectomy (methods)
• Adult
• Aged
• Cushing Syndrome (surgery)
• Female
• Humans
• Hyperaldosteronism (surgery)
• Laparoscopy (methods)
• Length of Stay
• Male
• Middle Aged
• Pheochromocytoma (surgery)
• Safety