Abstract
Objective. To evaluate the indication and the clinical value of laparoscopic adrenalectomy of different types of adrenal tumor. Methods. From 2009 to 2014, a total of 110 patients were diagnosed with adrenal benign tumor by CT scan and we performed laparoscopic adrenalectomy. The laparoscopic approach has been the procedure of choice for surgery of benign adrenal tumors, and the upper limit of tumor size was thought to be 6 cm. Results. 109 of 110 cases were successful; only one was converted to open surgery due to bleeding. The average operating time and intraoperative blood loss of pheochromocytoma were significantly more than the benign tumors (P < 0.05). After 3 months of follow-up, the preoperative symptoms were relieved and there was no recurrence. Conclusions. Laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery, and shorter hospital stay. The full preparation before operation can decrease the average operating time and intraoperative blood loss of pheochromocytomas. Laparoscopic adrenalectomy should be considered as the first choice treatment for the resection of adrenal benign tumor.
Highlights
Adrenalectomy is the standard treatment for adrenal gland disorders such as secretory tumors [1]
The upper limit of tumor size for laparoscopic surgery was thought to be 6 cm, for two main reasons: (i) the technique to remove a large tumor by laparoscopy is difficult; (ii) large tumors have higher possibility of malignancy [4]
From 2009 to 2014, we evaluated 110 cases of adrenal diseases including the diameter of >5 cm adrenal tumor who underwent laparoscopic adrenalectomy
Summary
Adrenalectomy is the standard treatment for adrenal gland disorders such as secretory tumors [1]. Laparoscopic procedures have been proposed to reproduce the surgical steps of open surgery and decrease morbidity, postoperative pain, and hospital stay. Laparoscopic surgery for adrenal tumors was firstly reported in 1992 by Gagner et al who used the transperitoneal approach in three patients [2]. The benefits of laparoscopy on postoperative pain, cosmesis, hospital stay, and convalescence are widely recognized. The upper limit of tumor size for laparoscopic surgery was thought to be 6 cm, for two main reasons: (i) the technique to remove a large tumor by laparoscopy is difficult; (ii) large tumors have higher possibility of malignancy [4]. There are some series of reports that laparoscopic surgery of the large pheochromocytomas was safe and effective. From 2009 to 2014, we evaluated 110 cases of adrenal diseases including the diameter of >5 cm adrenal tumor who underwent laparoscopic adrenalectomy
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