title: One hundred and ten consecutive uncomplicated retroperitoneal videoscopic adrenalectomies--Polish multicentre study.
abstract: OBJECTIVE
  The authors evaluate the effectiveness of videoscopic adrenalectomy (VA) for a variety of endocrine disorders.
  
  
  METHODS
  One hundred and ten consecutive videoscopic adrenalectomies performed from October 1995 till December 2000 were reviewed and followed up for adequacy of surgical treatment in 2 surgical departments. There were 79 females and 31 males included in the study. The mean age was 48.0 years (range 23-71 years). Indications for the operations were: phaeochromocytomas (n=5), aldosterone-producing adenomas (n=19), cortisol-producing adenomas (n=10), Cushing's disease (n=3) and non-secreting tumours (n=72).
  
  
  RESULTS
  There was no mortality and no morbidity both intraoperatively and in the postoperative course. In 8 cases conversion to open surgery was instituted - in 4 cases due to an unintended lesion of pertioneum without damage to the intraperitoneal organs. Mean operative time was 156 min (range 52-280 min), and estimated blood loss was 73 ml (range 20-300 ml). The average length of hospital stay was 2.9 days (range 2-7 days). None of the patients revealed either recurrence of hormonal hypersecretion or tumour mass in imaging studies during the follow-up period (range 1-34 months).
  
  
  CONCLUSIONS
  1. VA is recommended in patients with hormonally active tumours and in patients with benign adrenal masses of a diameter up to 6 cm. 2. VA is a safe and feasible procedure if performed by a team experienced in endocrine and endoscopic surgery. 3. VA is a procedure better than open adrenalectomy in management of small, non-malignant tumours because of the reduction of operative trauma.
authors.affiliation: Department of General, Gastroenterological and Endocrinological Surgery of Medical University, 1 Kieturakis Str. Gdansk, PL-80-742, Poland.
authors.forename: A
authors.initials: A
authors.lastname: Stanek
authors.forename: M
authors.initials: M
authors.lastname: Kowalczyk
authors.forename: Ł
authors.initials: Ł
authors.lastname: Kaska
authors.forename: J
authors.initials: J
authors.lastname: Lubikowski
authors.forename: K
authors.initials: K
authors.lastname: Sworczak
authors.forename: B
authors.initials: B
authors.lastname: Kwiecińska
authors.forename: W
authors.initials: W
authors.lastname: Makarewicz
authors.forename: A
authors.initials: A
authors.lastname: Łachiński
authors.forename: T
authors.initials: T
authors.lastname: Stefaniak
authors.forename: Z
authors.initials: Z
authors.lastname: Gruca
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D003480:Cushing Syndrome / Q000175:diagnosis / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome; D020535:Video-Assisted Surgery