Laparoscopic unroofing of adrenal cysts.
OBJECTIVE
This study was aimed to demonstrate the feasibility of laparoscopic conservative surgery of the adrenal gland in the treatment of adrenal cysts.


METHODS
Two cases of laparoscopic decortication of symptomatic adrenal cysts with preservation of the adrenal parenchyma are presented.


RESULTS
Surgery was uneventful in both cases and patients returned to preoperative activity within 10 days from the operation. At the 3-month follow-up, computerized tomography demonstrated the absence of any cystic recurrence and adrenal endocrine function was normal. These findings were confirmed at the 1-year follow-up by ultrasonography.


CONCLUSIONS
Symptomatic adrenal cysts can be effectively and safely treated by laparoscopic unroofing, a minimally invasive procedure which leaves the nondiseased adrenal parenchyma intact.
Guazzoni
G
G
Department of Urology, Scientific Institute H. San Raffaele, Milan, Italy.
Montorsi
F
F
Rigatti
P
P
Lanzi
R
R
Pontiroli
A E
AE
Silvestre
P
P
Breda
G
G
D000293:Adolescent; D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000328:Adult; D003560:Cysts / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography