Laparoscopic adrenalectomy, an initial experience of fifteen cases.
BACKGROUND
Laparoscopic adrenalectomy is an attractive alternative to open surgery, but making the transition can be difficult.


OBJECTIVE
To evaluate the initial experience of a general surgical team at a single institution at making the transition.


METHODS
The details of 15 patients undergoing laparoscopic adrenalectomy were prospectively recorded over a 21-month period.


RESULTS
Fifteen glands were removed from fifteen patients. Nine of these were left-sided. The mean gland size was 3.4 cm. Pathology included six non-functioning adenomas, four Conn's syndrome, two Cushing's syndrome and three phaeochromocytomas. Mean operating time was 74 minutes (range 31-172 minutes), with one conversion to open procedure. There were no morbidities and no mortality.


CONCLUSIONS
Our initial experience demonstrates this approach to be the ideal technique for removal of benign adrenal tumours with significant advantages for the patient.
Murphy
C G
CG
Dept of Surgery, Beaumont Hospital, Dublin. cmurphy@rcsi.ie
Scaramuzzi
N
N
Winter
D C
DC
Thompson
C J
CJ
Broe
P J
PJ
D000307:Adrenal Gland Diseases / Q000473:pathology / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000601:surgery; D000315:Adrenalectomy / Q000009:adverse effects / Q000379:methods*; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007494:Ireland; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000175:diagnosis / Q000453:epidemiology; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012494:Sampling Studies; D016896:Treatment Outcome