Laparoscopic adrenalectomy for metastatic adrenal tumor

Hirayama, Takahiro; Fujita, Tetsuo; Koguchi, Dai; Nishi, Morihiro; Kurosaka, Shinji; Tsumura, Hideyasu; Tabata, Ken‐ichi

doi:10.1111/ases.12076

Cited by 9 publications

(10 citation statements)

References 31 publications

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“…When compared to open adrenalectomy, LA for AM results in less morbidity (including pain), shorter hospital stay, quicker recovery and better cosmetic results (that is all the benefits of laparoscopic approach), with the same oncologic outcomes (2,5,26,29,30).…”

Section: Discussionmentioning

confidence: 99%

The role of laparoscopic resection of metastases to adrenal glands

et al. 2017

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Background: The potential role of the laparoscopic approach for metastases to the adrenal gland is debated. We review here a series of patients consecutively submitted to laparoscopic adrenalectomy (LA) for suspected adrenal metastasis (AM).Methods: Retrospective study (consecutive series) of LA for AM. We measured parameters associated to primary tumor and metastasis. Statistical analysis: stepwise regression model.Results: Thirty-seven LA were performed on 36 patients. The mean age was 62.1 yrs. The side was right in 13 cases. Primary tumor was in the lung (n=22), breast (n=4), colon-rectum (n=4), kidney (n=3), thyroid, melanoma and ovary (n=1 each). Thirty-three out of 37 were confirmed to be AM (mean diameter 50 mm).Twenty-five were single metastasis. One LA was converted due to cava vein infiltration. Mean operative time was 142 min', median p.o. hospital stay was 3 days. After a mean follow-up of 33 months, 9 patients (25%) were alive free of disease, 6 (17%) were alive with disease. Mean post-adrenalectomy DFI was 19 months (range, 0-97 months), and it was the most predictive variable for survival (P<0.001). Conclusions:The dimensions and absence of invasion on imaging, the evolutive status of the disease and the performance status of the patient are key factors for LA, which is associated with adequate oncologic results, a quicker postoperative recovery, and potential survival benefits.

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Section: Discussionmentioning

confidence: 99%

The role of laparoscopic resection of metastases to adrenal glands

et al. 2017

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“…We evaluated the safety and efficiency of ERA for AM and found a trend toward decreased operation time (132 min versus 144 min), blood loss (31 mL versus 130 mL), and complication rate (0% versus 8,35%) in our study group compared to results of LA for metastasis in other published series summarized in Table 3 [7, 20, 23, 28, 30–38]. …”

Section: Discussionmentioning

confidence: 70%

Endoscopic Retroperitoneal Adrenalectomy for Adrenal Metastases

Simutis

Lengvenis

Beiša

et al. 2014

International Journal of Endocrinology

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Objectives. To evaluate whether retroperitoneal approach for adrenalectomy is a safe and effective treatment for adrenal metastases (AM). Methods. From June 2004 to January 2014, nine consecutive patients with AM were treated with endoscopic retroperitoneal adrenalectomy (ERA). A retrospective study was conducted, and clinical data, tumor characteristics, and oncologic outcomes were acquired and analyzed. Results. Renal cancer was the primary site of malignancy in 44.4% of cases. The mean operative time was 132 ± 10.4 min. There were 5 synchronous and 4 metachronous AM. One patient required conversion to transperitoneal laparoscopic procedure. No mortality or perioperative complications were observed. The median overall survival was 11 months (range: 2–42 months). Survival rates of 50% and 25% were identified at 1 and 3 years, respectively. At the end of the study, 4 patients were alive with a mean observed follow-up of 20 months. No patients presented with local tumor relapse or port-site metastases. Conclusions. This study shows that ERA is a safe and effective procedure for resection of AM and advances the surgical treatment of adrenal disease. The use of the retroperitoneal approach for adrenal tumors less than 6 cm can provide very favorable surgical outcomes.

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“…Many authors state that laparoscopic treatment should be individualised according to the size of the tumour and development of the disease itself. Many authors prefer the laparoscopic technique [2,9,10]. In the case of laparoscopic and open excision of metastatic tumours from adrenal glands, there is no difference found in the margin surrounding the excised tumour, as well as in recurrence of the tumour at the site of the operation, and mean survival time in the perioperative period [3].…”

Section: Discussionmentioning

confidence: 99%

The usefulness of laparoscopic adrenalectomy in the treatment of adrenal neoplasms — a single-centre experience

Pogorzelski

Toutounchi

Krajewska

et al. 2017

Endokrynologia Polska

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Introduction: Adrenal neoplasms comprise about 10% of all tumours affecting this organ and constitute a significant, at first diagnostic and subsequently therapeutic, problem, especially since a relatively high proportion of neoplastic lesions are asymptomatic. The number of diagnosed metastases to adrenal glands is increasing. Surgical treatment involves both open surgery as well as laparoscopy. Material and methods: There were 245 adrenalectomies performed at our centre due to various indications over the past four years. In 27 (11.5%) cases neoplasms were diagnosed in the final histopahtological examination. In 11 (40.7%) cases primary adrenal cortex tumours were diagnosed, metastases from other solid organ tumours were identified in another 12 (44.4%) patients, and rarer neoplasms were diagnosed in the remaning 4 (14.8%) subjects. Cases of malignant pheochromocytoma were not included in this report.

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Laparoscopic adrenalectomy for metastatic adrenal tumor

Abstract: LA is a safe and effective procedure for patients with isolated metastases. Surgical resection with LA for a solitary adrenal metastasis from primary malignancy can achieve a good prognosis.

Cited by 9 publications

References 31 publications

The role of laparoscopic resection of metastases to adrenal glands

The role of laparoscopic resection of metastases to adrenal glands

Endoscopic Retroperitoneal Adrenalectomy for Adrenal Metastases

The usefulness of laparoscopic adrenalectomy in the treatment of adrenal neoplasms — a single-centre experience

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