Laparoscopic adrenalectomy; experience of 9 years

Simforoosh, Nasser; Basiri, Abbas; Danesh, A; Sharifiaghdas, Farzaneh; Ziaee, Seyed Amir Mohsen; Tabibi, Ali; Nadjafi-Semnani, Mohammad

doi:10.1016/s1569-9056(05)80016-8

Cited by 3 publications

(5 citation statements)

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“…Considering the dubious interpretation, clinical worsening, abdominal distention and pain, an axial CT of the abdomen was decisive for diagnosing the right adrenal hemorhagic cyst (11) . Although the best references in the literature state that video-guided surgery is the best treatment available for adrenal cysts (12,13) , and we fully agree, the learning curve in trauma situations and the intra-abdominal mass effect, the retroperitoneal localization and the fact that our results are better with open surgery had to be taken in account. Thus, one of the aims of this case report is the exchange of ideas about the best approach.…”

Section: Discussionmentioning

confidence: 68%

Hemorrhagic adrenal cyst

Silva

Viamontez

Silva

et al. 2012

Einstein (São Paulo)

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The authors present a case of a hemorrhagic adrenal cyst, one of the tumors known in literature as incidentalomas, emphasizing the clinical characteristics, since adrenal cysts or pseudocysts are generally rare and observed by chance during imaging procedures. Traditionally they are classified as pseudocysts, endothelial, epithelial or parasitic cysts. Laparoscopic adrenalectomy has been considered the treatment of choice for benign, functioning or non-functioning adrenal lesions. Small cystic adrenal tumors can be managed conservatively by laparoscopic decortication or marsupialization, but larger cysts should be treated by total or partial adrenalectomy.Keywords: Adrenal gland diseases/diagnosis; Adrenal gland diseases/ surgery; Cysts/diagnosis; Adrenalectomy; Laparoscopy/methods; Case reports RESUMOOs autores apresentam um caso clínico de cisto hemorrágico da glândula adrenal, conhecido na literatura como uma das doenças do grupo dos incidentalomas, enfatizando características clínicas, como cistos e pseudocistos da adrenal, que são raros e geralmente diagnosticados incidentalmente por métodos de imagem. Tradicionalmente, essas lesões são classificadas em: pseudocistos, cistos endoteliais, epiteliais e parasitários. A adrenalectomia laparoscópica vem sendo considerada a conduta cirúrgica de escolha para o tratamento das lesões benignas da adrenal (funcionantes ou não funcionantes). As pequenas lesões císticas da adrenal podem ser manuseadas conservadoramente pela decorticação ou marsupialização laparoscópica; no entanto, os cistos maiores devem ser tratados por meio de adrenalectomia total ou parcial.Descritores: Doenças das glândulas supra-renais/diagnóstico; Doenças das glândulas supra-renais/cirurgia; Cistos/diagnóstico; Adrenalectomia; Laparoscopia/métodos; Relatos de casos

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Section: Discussionmentioning

confidence: 68%

Hemorrhagic adrenal cyst

Silva

Viamontez

Silva

et al. 2012

Einstein (São Paulo)

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“…3 Büyük cilt insizyonlarının olmaması ve minimal barsak manipulasyonları sonucunda postoperatif morbidite azalmış böylece hastanede kalış süresi kısalmış ve daha iyi kozmetik sonuçlar alınmasına olanak sağlanmıştır. 5 Minimal invaziv cerrahilerin altın çağını yaşadığı günümüzde sürrenal cerrahiside hak ettiği yeri almıştır. Bununla birlikte günümüzde büyük ve malign potansiyeli yüksek kitlelerin cerrahisinde laparoskopik cerrahinin yeri tartışmalıdır.…”

Section: Discussionunclassified

“…Ortalama operasyon süresi 136±23,6 (100-190) dakika idi. Ortalama tümör boyutu 7,1±2.7 (5)(6)(7)(8)(9)(10)(11)(12) cm idi. Hiçbir hastada postoperatif transfüzyon gereksinimi olmadı.…”

Section: Gereç Ve Yöntemunclassified

Laparoscopic adrenalectomy: Our clinical experiences with the first 10 patients

Penbegül¹

2012

DMJ

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Objectives:The aim of this study is to present the results of our first ten laparoscopic adrenalectomy cases which were performed in our clinic. Materials and methods:Between December 2010 and September 2012 the standard transperitoneal laparoscopic adrenalectomy was performed on 10 patients. Data of patients such as age, weight, height, operation time, hospitalization time, complications, size of adrenal mass and pathological diagnosis were retrospectively reviewed and recorded from the hospital records.Results: Three of ten patients were male and seven of them were female. The mean age of the patients was 42.12±11.4 (21-55) years. Mean operation time was recorded as 136±23.6 (100-190) min. Mean tumor size was 7.1±2.7 (5-12) cm. None of the patients required blood transfusion. Mean hospital stay was 2.3±1.2 (2-6) days. Pathological diagnoses of masses were pheocromacytoma in two patients, adrenal adenoma in six, myelolipoma in one and pseudocist in one. Conclusions:According to our experience with the limited number of the first ten cases, transperitoneal laparoscopic adrenalectomy is a safe and effective treatment modality, associated with minimal morbidity. To obtain more reliable information larger series with long-term results of laparoscopic adrenalectomy is needed. ÖZETAmaç: Bu çalışmanın amacı kliniğimizde uygulanan ilk on laparoskopik adrenalektomi vakalarının sonuçlarını sunmaktır.

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“…Simforoosh et al [14] studied a total of 67 laparoscopic adrenalectomies performed during the 10 years between 1995 and 2005. A transperitoneal lateral approach was used in 65 (97.0%) of the patients, and retroperitoneal approach was used in 2 (3.0%).…”

Section: Review Of Literaturementioning

confidence: 99%

“…Conversion rate to open surgery was 7.5%. Reoperation due to hemorrhage was performed in 1 patient [14].…”

Section: Review Of Literaturementioning

confidence: 99%