Laparoscopic Adrenalectomy

M.Ye. Nichitaylo, V.V. Chorny, O.N. Gulko, A.N. Kvachenyuk, I.S. Suprun, K.V. Negriyenko, D.A. Kvachenyuk

Abstract


Introduction. In most cases, when there are indications for endovideosurgical treatment of adrenal diseases, adrenalectomy — the complete removal of the adrenal gland — is usually being carried out. The criteria for endoscopic adrenalectomy are not clear defined.
The objective of the work: to improve the outcomes of surgical treatment of adrenal diseases with introduction of a new type of surgeries — laparoscopic adrenalectomy.
Material and Methods. We have carried out 32 laparoscopic adrenalectomy (adenomadrenalectomies) in 27 patients: 9 right-sided; 13 left-sided; 5 bilateral. We selected cases of small benign solitary (for each side) masses diagnosed by computed tomography with intravenous contrast enhancement. Laparoscopic adrenalectomy was performed using welding technology.
Results and Discussion. Intra- and postoperative complications were not detected. Increased levels of adrenal hormones and related manifestations were normalized after surgery in all patients during the first four postoperative days. There was not a single case of adrenal insufficiency or recurrent disease.
Conclusions. Laparoscopic adrenalectomy using welding technology — progressive and safe surgery.


Keywords


laparoscopic adrenalectomy; laparoscopic adenomadrenalectomy; welding technology

References


Potthoff S.A. Primay hyperaldosteronism — diagnostic and treatment / S.A. Potthoff, F. Beuschlein, O. Vonend // Dtsch Med. Wochenschr. — 2012. — № 137(48). — P. 80-84.

Laparoscopic adrenalectomy, a safe procedure for pheochromocytoma. A retrospective review of clinical series / G. Conzo et al. // Int. J. Surg. — 2013. — № 11(2). — P. 152-156.

Laparoscopic adrenalectomy in patients with subclinical Cushing syndrome / I. Perysinakis et al. // Surg. Endosc. — 2013, Jan 26. [Epub ahead of print].

Partial adrenalectomy: underused first line therapy for small adrenal tumors / D.R. Kaye et al. // J. Urol. — 2010. — № 184(1). — P. 18-25.

Retroperitoneal adrenal-sparing surgery for the treatment of Cushing’s syndrome caused by adrenocortical adenoma: 8-year experience with 87 patients / H.C. He et al. // World J. Surg. — 2012. — № 36(5). — P. 182-188.

Partial adrenalectomy minimizes the need for long-term hormone replacement in pediatric patients with pheochromocytoma and von Hippel-Lindau syndrome / D. Volkin et al. // J. Pediatr. Surg. — 2012. — № 47(11). — Р. 77-82.

Laparoscopic simultaneous bilateral adrenalectomy: assessment of feasibility and potential indications / Y. Kawasaki et al. // Int. J. Urol. — 2011. — № 18(11). — P. 762-767.

Лапароскопическая резекция надпочечников / С.И. Емельянов и др. // Endosk. Hir. — 2010. — № 3. — С. 11-17.

Management of pheochromocytomas in patients with multiple endocrine neoplasia type 2 syndromes // T.C. Lairmore et al. // Ann. Surg. — 1993. — № 217. — P. 595-601.

Robot-assisted laparoscopic partial adrenalectomy for pheochromocytoma: the National Cancer Institute technique / K.P. Asher et al. // Eur. Urol. — 2011. — № 60(1). — P. 118-124.

Laparoscopic resection is inappropriate in patients with known or suspected adrenocortical carcinoma / B.S. Miller et al. // World J. Surg. — 2010. — № 34(6). — P. 1380-1385.

Toniato A. Minimally invasive surgery for malignant adrenal tumors // Surgeon. — 2013, Feb 13 [Epub ahead of print].




DOI: https://doi.org/10.22141/1997-2938.4.23.2013.86690

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 UKRAINIAN JOURNAL OF SURGERY

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2017

 

 Яндекс.МетрикаSeo анализ сайта Рейтинг@Mail.ru