Abstract | OBJECTIVES: METHODS: Between September 1996 and October 1999, we performed 52 laparoscopic adrenalectomies (31 left, 21 right) for benign lesions by a retroperitoneal approach in 44 patients (27 women, 17 men) with a mean age of 46.9 years (range 17 to 74). The average adrenal tumor size was 32 mm (range 10 to 63). All procedures required four trocars and a mean operative time of 135 minutes (range 75 to 240). RESULTS: There was no mortality, conversion rate to open surgery was 1.9%, and estimated blood loss was 80 mL (range 30 to 200). With a mean follow-up of 16 months, morbidity was 17.2%, which included intraoperative complications (5. 7%) with two vascular injuries, and postoperative complications (11. 5%) with wound infections, deep hematoma, and parietal dehiscence. Average length of hospital stay was 5 days with a mean analgesic consumption of 2 days (range 1 to 5). CONCLUSIONS: The retroperitoneal approach in laparoscopic adrenalectomy appears to be a minimally invasive and safe therapeutic option that may become the standard for unilateral or bilateral adrenal tumors not larger than 7 cm. However, a learning curve in laparoscopy is indispensable before starting this type of procedure.
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Authors | M Soulié, P Mouly, P Caron, P Seguin, N Vazzoler, G Escourrou, T Bastide, F Pontonnier, P Plante |
Journal | Urology
(Urology)
Vol. 56
Issue 6
Pg. 921-5
(Dec 20 2000)
ISSN: 1527-9995 [Electronic] United States |
PMID | 11113731
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adrenal Gland Neoplasms
(surgery)
- Adrenalectomy
(methods)
- Adult
- Aged
- Female
- Follow-Up Studies
- France
(epidemiology)
- General Surgery
(education)
- Humans
- Intraoperative Complications
(epidemiology)
- Laparoscopy
(methods)
- Male
- Middle Aged
- Pheochromocytoma
(surgery)
- Postoperative Complications
(epidemiology)
- Prospective Studies
- Retroperitoneal Neoplasms
(surgery)
- Retroperitoneal Space
- Treatment Outcome
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