Laparoscopic operative technique for adrenal tumors.
OBJECTIVE
Laparoscopy has acquired an unquestionable position in surgical practice as a diagnostic and operative tool. Recently, the laparoscopic approach has become a valuable option for adrenalectomy. This paper reports, in detail, our experience of laparoscopic adrenalectomy performed for adrenal tumors.


METHODS
We performed 12 laparoscopic adrenalectomies from October 29, 1997 to October 31, 1998. The technique of laparoscopic adrenalectomy is described thoroughly in all relevant details for either left or right-sided adrenal lesions.


RESULTS
The presented technique of laparoscopic adrenalectomy in all 12 cases provided good and relatively simple exposure of the immediate operative area. All relevant vascular elements were safely controlled, adrenal tumors could be successfully removed, and adequate hemostasis was achieved. No intraoperative or postoperative complications were observed.


CONCLUSIONS
Laparoscopic adrenalectomy is a safe alternative to open surgery and is preferred for most patients because of shorter postoperative hospital stay and less postoperative discomfort.
Department of Vascular and Transplantation Surgery, The Medical University of Warsaw, Poland.
M
M
Otto
G
G
Szostek
S
S
Nazarewski
T
T
Borkowski
W
W
Chudzinski
T
T
Tolloczko
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D005240:Feasibility Studies; D016558:Hemostasis, Endoscopic / Q000379:methods; D006801:Humans; D006929:Hyperaldosteronism / Q000175:diagnosis / Q000601:surgery; D010535:Laparoscopy; D010673:Pheochromocytoma / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D020535:Video-Assisted Surgery