Laparoscopic adrenalectomy for functioning adrenal tumors: clinical experiences with 38 cases and comparison with open adrenalectomy

Ichikawa, Tomohiko; Mikami, Kazuo; Komiya, Akira; Suzuki, Hiroyoshi; Shimizu, Asuka; Akakura, Koichiro; Igarashi, Tatsuo; Itô, Haruo

doi:10.1016/s0753-3322(00)80039-6

Cited by 13 publications

(10 citation statements)

References 14 publications

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“…However, antihypertensive medication use was not evaluated [13]. Other studies with follow-up periods ranging from 0 to 24 months reported similar results with no medication-specific outcomes [7,9,10,15,19].…”

Section: Discussionmentioning

confidence: 96%

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Laparoscopic adrenalectomy: 100 resections with clinical long-term follow-up

et al. 2004

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Section: Discussionmentioning

confidence: 96%

“…Most of these studies do not examine postoperative antihypertensive medication use [7,9,10,13,15,18,19]. In a multicenter cohort analysis, Terachi et al [18] presented 370 cases of minimally invasive adrenalectomies with a 6% postoperative complication rate, but no medication follow-up management.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic adrenalectomy: 100 resections with clinical long-term follow-up

et al. 2004

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“…The resection of pheochromocytomas, thought to be more difficult because of both catecholamine release during manipulation and greater vascularity, is aided by a laparoscopic approach. Compared with open surgery, laparoscopy was associated with lower EBL and shorter LOS . Additionally, episodes of intra‐operative hypertension or hypotension were either fewer or similar in number during laparoscopic procedures.…”

Section: Resultsmentioning

confidence: 94%

International Consultation on Urological Diseases and European Association of Urology International Consultation on Minimally Invasive Surgery in Urology: laparoscopic and robotic adrenalectomy

2016

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) was conducted to identify comparative studies assessing the safety and efficacy of minimally invasive adrenal surgery. Subtopics including the role of minimally invasive surgery for pheochromocytoma, adrenocortical carcinoma (ACC) and large adrenal tumours were examined. Additionally, the role of transperitoneal and retroperitoneal approaches, as well as laparoendoscopic singlesite (LESS) and robotic adrenalectomy were reviewed. The major findings are presented in an evidence-based fashion. Large retrospective and prospective data were analysed and a set of recommendations provided by the committee was produced. Laparoscopic surgery should be considered the firstline therapy for benign adrenal masses requiring surgical resection and for patients with pheochromocytoma. While a laparoscopic approach may be feasible for selected cases of ACC without adjacent organ involvement, an open surgical approach remains the 'gold standard'. Large adrenal tumours without preoperative or intra-operative suspicion of ACC may be safely resected via a laparoscopic approach. Both transperitoneal and retroperitoneal approaches to laparoscopic adrenalectomy are safe. The approach should be chosen based on surgeon training and experience. LESS and robotic adrenalectomy should be considered as alternatives to laparoscopic adrenalectomy but require further study.

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“…[8][9][10][11] The choice of surgical approach depends mainly on the surgeons' experience and orientation, as well as the tumor pathology, size, function, and the patient's clinical history. Initially, we started laparoscopic adrenalectomy for nonfunctioning small tumors, and later on, laparoscopic adrenalectomy became our procedure of choice for all adrenal tumors, unless there was proven or highly suspicious malignancy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic vs. Open Adrenalectomy: Experience at King Faisal Specialist Hospital and Research Centre, Riyadh

et al. 2003

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Background:The laparoscopic approach for adrenalectomy is now widely accepted and preferred over the conventional open approach. We describe our experience of adrenalectomy and compare the results of open and laparoscopic approach. Patients and Methods: From March 1999 to March 2002, we performed 23 adrenalectomies. An anterior transabdominal approach was used for the open procedure, and a lateral transperitoneal approach for the laparoscopic procedure. Data from both groups were analyzed and compared. Results: There was no difference in tumor size or pathology between the two groups. The tumor size was smaller, operative time was longer and estimated blood loss was less in the laparoscopic procedure group, however these differences were statistically insignificant. The mean length of hospital stay was shorter (5.1 vs. 9.2 days, P< 0.01), the mean use of postoperative narcotic analgesia was less (4.2 vs. 8.1 injections, P< 0.05), and the mean time for resumption of oral intake was faster (1.17 vs. 2 days, P< 0.01) in the laparoscopic procedure group compared to the open adrenalectomy group. Conclusion: Laparoscopic adrenalectomy is a safe procedure that can be performed for most adrenal pathology. It is associated with faster recovery, less postoperative pain, and shorter hospital stay.

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Laparoscopic adrenalectomy for functioning adrenal tumors: clinical experiences with 38 cases and comparison with open adrenalectomy

Cited by 13 publications

References 14 publications

Laparoscopic adrenalectomy: 100 resections with clinical long-term follow-up

Laparoscopic adrenalectomy: 100 resections with clinical long-term follow-up

International Consultation on Urological Diseases and European Association of Urology International Consultation on Minimally Invasive Surgery in Urology: laparoscopic and robotic adrenalectomy

Laparoscopic vs. Open Adrenalectomy: Experience at King Faisal Specialist Hospital and Research Centre, Riyadh

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