BACKGROUND: Laparoscopic adrenalectomy has become the gold standard in most patients with adrenal tumors. It is unclear; however, at what size an adrenal neoplasm should be resected by means of an open or a laparoscopic approach. The aim of the present study was to compare the outcomes of laparoscopic adrenalectomy for large tumors with smaller tumors. METHODS: A prospective study of patients who underwent adrenalectomy during the period 2006-2009 was undertaken. The patients were divided into 2 groups according to the tumor size. Group 1 (n=29) consisted of patients presenting tumors smaller than 5 cm in diameter; group 2 (n=31) consisted of patients with tumors larger than 5 cm in diameter. RESULTS: Two of the 29 tumors in group 1 (6.8%) were malignant at final histology. However, 11 of the 31 tumors in group 2 (35.4%) were malignant. There were no significant differences between operating time and complications of groups 1 and 2. The intra-operative blood loss was significantly lower in group 1 than in group 2. CONCLUSION: Laparoscopic adrenalectomy is a reasonable procedure for selected large adrenal tumors when a complete resection is technically feasible and there is no evidence of local invasion.
BACKGROUND: Laparoscopic adrenalectomy has become the gold standard in most patients with adrenal tumors. It is unclear; however, at what size an adrenal neoplasm should be resected by means of an open or a laparoscopic approach. The aim of the present study was to compare the outcomes of laparoscopic adrenalectomy for large tumors with smaller tumors. METHODS: A prospective study of patients who underwent adrenalectomy during the period 2006-2009 was undertaken. The patients were divided into 2 groups according to the tumor size. Group 1 (n=29) consisted of patients presenting tumors smaller than 5 cm in diameter; group 2 (n=31) consisted of patients with tumors larger than 5 cm in diameter. RESULTS: Two of the 29 tumors in group 1 (6.8%) were malignant at final histology. However, 11 of the 31 tumors in group 2 (35.4%) were malignant. There were no significant differences between operating time and complications of groups 1 and 2. The intra-operative blood loss was significantly lower in group 1 than in group 2. CONCLUSION: Laparoscopic adrenalectomy is a reasonable procedure for selected large adrenal tumors when a complete resection is technically feasible and there is no evidence of local invasion.
Authors: Carlo V Feo; Mattia Portinari; Umberto Maestroni; Paolo Del Rio; Silvia Severi; Lorenzo Viani; Riccardo Pravisani; Giorgio Soliani; Maria Chiara Zatelli; Maria Rosaria Ambrosio; Jenny Tong; Giovanni Terrosu; Vittorio Bresadola Journal: Surg Endosc Date: 2015-11-05 Impact factor: 4.584
Authors: Tomasz Szydełko; Jarosław Lewandowski; Wojciech Panek; Krzysztof Tupikowski; Janusz Dembowski; Romuald Zdrojowy Journal: Cent European J Urol Date: 2012-06-12
Authors: Nuri Alper Sahbaz; Ahmet Cem Dural; Cevher Akarsu; Deniz Guzey; Mehmet Kulus; Sema Ciftci Dogansen; Meral Mert; Halil Alis Journal: Wideochir Inne Tech Maloinwazyjne Date: 2019-05-15 Impact factor: 1.195