The role of laparoscopic adrenalectomy for adrenal tumours of 6 cm or greater

Parnaby, Craig; Chong, Peter Siao Tick; Chisholm, Lindsey; Farrow, Jason; Connell, J; Dwyer, P. J. O

doi:10.1007/s00464-007-9709-7

Cited by 94 publications

(71 citation statements)

References 19 publications

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“…In the series of Parnaby and colleagues (16), pathological evaluation of 101 patients demonstrated benign lesions in 70, nonfunctional adrenal tumors in 5, adrenal carcinoma in 17, metastatic adrenal carcinoma in 3, contralateral adrenal metastasis in 3, retroperitoneal sarcomas in 2 and mixed type adenoma in 1 patients. Zakarias et al (17) reported similar pathological results in another laparoscopic adrenalectomy series of 52 patients.…”

Section: Discussionmentioning

confidence: 96%

Our Experience in Laparoscopic Adrenalectomy and Literature Review

Nalbant

Öztürk²,

Selmï³

et al. 2016

GMJ

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Objective: To present our experience in laparoscopic adrenalectomy. Material and Methods:We have reviewed the records of our 64 adrenalectomy cases between August 2007 and October 2014 retrospectively. Of these cases, 63 had unilateral masses (25 right-sided, 38 left-sided) while only one patient had bilateral masses. The mean age of the patients was 46.72 years (26-81) and 44 (68.75%) patients were women and 20 (31.25%) were men. The average mass size was calculated as 35x29 mm and 48x34 mm in functional and non-functional adenomas, respectively. Results: Among the 64 patients, 48 were referred by endocrinology clinics while 16 patients were diagnosed incidentally. Fourteen patients had history of previous intra-abdominal surgery and five of them were continued as open surgery due to intraperitoneal adhesions. Mean duration of operation was 94±42 minutes and mean hospitalization time was 3.1±1,6 days. We did not encounter any major complications and recurrent or residual masses. Conclusion: Laparoscopic adrenalectomy is a safe method that can provide comfort to patients and surgeons in appropriate cases.

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Section: Discussionmentioning

confidence: 96%

Our Experience in Laparoscopic Adrenalectomy and Literature Review

Nalbant

Öztürk²,

Selmï³

et al. 2016

GMJ

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“…Besides, unpredicted adhesions of the mass undetectable in CT or MR to surrounding tissues may be another reason necessitating conversion to open surgery. Parnaby et al [23] indicated that in patients undergoing surgery with the indication of pheochromocytoma, probability of conversion to open surgery was higher. Even though contrary opinions have been advocated in the literature, higher body mass index is a risk factor necessitating conversion to open surgery.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transperitoneal adrenalectomy: Our initial results

Özgör

Binbay

Akbulut

et al. 2014

Turkish Journal of Urology

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Objective: To present the first 24 laparoscopic adrenalectomies performed in our clinic because of an adrenal mass. Material and methods:The medical files of 24 patients who underwent laparoscopic adrenalectomy between December 2008 and March 2013 at Haseki Teaching and Research Hospital were analyzed retrospectively. The demographic characteristics of the patients were recorded. Lateral transperitoneal laparoscopic adrenalectomy was performed in all patients. The operation time was defined as the interval between the first incision of the skin and closure of the skin. Intraoperative complications, estimated blood loss and hospital stays of the patients were evaluated. Final pathologies were recorded. Results:The mean age of the patients was 44.2±8.58 years (range: 29-66 years). Nine patients were female and 15 were male. A total of 24 masses were identified in the right (n=11), and left (n=13) adrenal glands masses were identified., Eighteen patients (75%) had no symptoms, and the masses were identified incidentally. The mean operation time was 144±46.1 minutes (range: 90-320 minutes), and the mean blood loss was 74±12.3 mL (range: 50-130 mL). None of the patients required a blood transfusion. In one patient, liver injury was identified intraoperatively due to traction. The mean duration of hospitalization was 2.9±1.1 days (range: 2-5 days). Adrenocortical adenoma and pheochromocytoma were the most common pathologies. Conclusion:Laparoscopic adrenalectomy is a safe and effective method for the treatment of adrenal masses with low complication rates.

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“…In our series, the largest tumor diameter was 8.5 cm, which posed no problems during surgery, since the imaging studies conducted had ruled out local infiltration or of adjacent organs. A study comparing the role of laparoscopic adrenalectomy to open surgery in tumors less than or greater than 6 cm concluded that results are similar in the absence of local invasion 8 . Similarly, when a correct preoperative assessment is performed, the possibility of intraoperative complications decreases.…”

Section: Discussionmentioning

confidence: 99%