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[Laparoscopic adrenalectomy].
- Source :
-
Cirugia espanola [Cir Esp] 2007 Sep; Vol. 82 (3), pp. 161-5. - Publication Year :
- 2007
-
Abstract
- Introduction: In the last few years, laparoscopic adrenalectomy has become widely used in the management of adrenal disease.<br />Material and Method: We reviewed our experience of 24 patients who underwent laparoscopic adrenalectomy between 1998 and 2006.<br />Results: Surgery was indicated for Cushing's syndrome in 46% of the patients, aldosteronoma in 25%, incidentaloma in 21% and pheochromocytoma in 8%. A lateral transabdominal approach was employed in all patients. The mean age of the patients was 50.4 years (17 women and 7 men). Left unilateral adrenalectomy was performed in 63% of the patients, right unilateral adrenalectomy in 29% and bilateral adrenalectomy in 8%. The conversion rate was 4%. The mean operating time was 134 minutes in unilateral approaches and 245 minutes in bilateral approaches. The mean size of the gland was 4 cm. The complications rate was 4% and there was no mortality. Disease control was achieved in 96% of the patients after a mean follow-up of 49 months.<br />Conclusions: Laparoscopic adrenalectomy should be considered the procedure of choice for the surgical management of benign adrenal disease.
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0009-739X
- Volume :
- 82
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Cirugia espanola
- Publication Type :
- Academic Journal
- Accession number :
- 17916287
- Full Text :
- https://doi.org/10.1016/s0009-739x(07)71692-5