Adrenal cysts: Our laparoscopic experience

Abstract

INTRODUCTION:Cystic lesions of the adrenals are rare with an incidence of 0.06% in autopsies, and the most frequently found are either the endothelial cysts or the pseudocysts. We report our series of patients presenting with adrenal cysts.MATERIALS AND METHODS:The case records of patients presenting with adrenal cysts were reviewed and analyzed. Age, gender, presenting symptoms, physical examination findings, laboratory investigations and imaging records were all noted and analysed.RESULTS:During the 10-year study period, 14 patients, with a mean age of 41.36 ± 5.57 years, were diagnosed to have adrenal cysts. Laparoscopic excision of cysts was performed in three and laparoscopic adrenalectomy in the remaining eleven.CONCLUSIONS:Adrenal cysts are rare, and intervention is indicated whenever they are large (>5 cm), symptomatic, functional, and potentially malignant. Laparoscopic management of these cysts in the form of either decortication/excision is safe, effective, minimally invasive, with minimal blood loss and shorter duration of hospitalization.

Surgical management of adrenal cysts: a single-institution experience

“…Surgical resection were taken in our series in patients with the following characteristics: hormonally active adrenal cysts, cystic lesion greater than 4 cm, smaller cysts enlarged at least by 1cm per year, cysts with image changes like haemorrhage and calcifi cation. Recently, multiple studies have described the minimally invasive approaches had shorter hospital stays, less blood loss, and enhanced cosmesis (6,(25)(26)(27). In the present series, most open excisions were managed in the early time and great majority were submitted to laparoscopic excisions in recent years.…”

Adrenal hemorrhagic pseudocyst - A case report of a rare presentation of pheochromocytoma

“…Isolated adrenal hemorrhage is a very rare subset of this type of injury and usually has limited clinical significance. 5 Majority of adrenal gland hemorrhage following injuries can be treated conservatively.…”

“…Laparoscopic adrenalectomy is safe, feasible and efficient means of resecting large (>8 cm) adrenal pheochromocytomas. 5 …”

Postsurgical large adrenal cyst recurrence: treatment by means of percutaneous alcohol ablation

“…With this approach, better cosmetic results, less blood loss, fewer postoperative complications and shorter hospitalisation have been reported 14 16…”