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[Laparoscopic adrenalectomy in the treatment of adrenal ganglioneuroma].

AbstractOBJECTIVE:
To evaluate the feasibility of laparoscopic adrenalectomy in the treatment of adrenal ganglioneuromas.
METHODS:
The clinical data of 12 cases of adrenal ganglioneuromas undergoing laparoscopic adrenalectomy between February 2002 and August 2010 were reviewed retrospectively.
RESULTS:
None of them had endocrine function. The average long diameter of ganglioneuromas was 6.5 cm (range: 1.5 - 16.8 cm). Ten tumors were resected through retroperitoneal approach with an average long diameter of 6.0 cm and another two through transperitoneal approach with 7.5 and 10.7 cm in size respectively. Three tumors surrounded renal pedicle and one adhered to kidney. The average operative duration was 144 minutes, average blood loss 194 ml and average postoperative hospitalization stay 5.4 days. None had local recurrence and distant metastasis during a mean follow-up period of 45 months.
CONCLUSION:
Laparoscopic adrenalectomy is both safe and feasible for adrenal ganglioneuromas if an appropriate approach is chosen and renal pedicle well-protected.
AuthorsZheng Zhang, Rui He, Xue-song Li, Li-qun Zhou
JournalZhonghua yi xue za zhi (Zhonghua Yi Xue Za Zhi) Vol. 92 Issue 8 Pg. 562-3 (Feb 28 2012) ISSN: 0376-2491 [Print] China
PMID22490163 (Publication Type: English Abstract, Journal Article)
Topics
  • Adolescent
  • Adrenal Gland Neoplasms (surgery)
  • Adult
  • Child
  • Feasibility Studies
  • Female
  • Ganglioneuroma (surgery)
  • Humans
  • Laparoscopy
  • Male
  • Middle Aged
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult

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