Current Role of Laparoscopic Adrenalectomy

Surgery for Pheochromocytoma: A Prospective Clinico-epidemiological Study

“…The results are safe, reproducible and effective with comparable morbidity and mortality. 9 However, larger tumors greater than 8-10 cm diameter, adrenocortical carcinomas and ganglioneuromas of the adrenal still favor an open approach. 10 In experienced hands, the laparoscopic technique has also been regarded as the procedure of choice for even pheochromocytoma.…”

Justification of extraperitoneal laparoscopic access for surgery of the upper urinary tract

“…For example, in the case of radical nephrectomy, Rassweiler et al [40] found that the transperitoneal approach was, on average, 5 minutes shorter than the extraperitoneal approach. However, the [48] 100 320 Janetschek et al [49] 73 142 Hernandez et al [50] 56 158 Gill et al [51] 100 168 Cicco et al [52] 50 139 Rassweiler et al [40] 18 206 17 211 Adrenalectomy Fernandez-Cruz et al [17] 10 89 11 105 Naya et al [53] 28 202 22 221 Guazzoni et al [54] 145 160 Salomon et al [46] 115 118 Pyeloplasty Turk et al [55] 49 165 Jarrett et al [56] 100 250 Soulie et al [57] 55 185 difference in average operative time with the same procedure in two different centers can be as high as 178 minutes. In other words, operative time seems to depend more on the standardization of the procedure and surgical experience than on the operative approach.…”

Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

“…1 The conventional laparoscopic adrenalectomy (CLA) uses 3 or 4 ports, most commonly 1 12-mm and 2 or 3 5-mm ports. In recent years, there has been a paradigm shift in the field of minimally invasive surgery as laparoscopy progresses toward scarless techniques.…”