title: Laparoscopic hand-assisted adrenalectomy for a 20 cm benign tumor.
abstract: Since its introduction in 1992, laparoscopic adrenalectomy (LA) has become the technique of choice in the surgical treatment of both secreting or non-secreting benign adrenal pathology. Although traditionally, laparoscopic approach was recommended only for tumor sizes less than 6-8 cm--as larger tumors were known to have an increased risk of malignancy--the currently growing experience and improvement of surgical techniques has allowed for an extension of the therapeutic indication, as shown by the recent case report of LA use for a benign 22 cm tumor (1). We report the case of a young patient operated in our Department for a benign 20 cm adrenal tumor for which laparoscopic "hand-assisted" adrenalectomy yielded a good postoperative outcome and minimal complications.
authors.affiliation: Centrul de Chirurgie Generala şi Transplant Hepatic, Institutul Clinic Fundeni.
authors.forename: I
authors.initials: I
authors.lastname: Popescu
authors.forename: V
authors.initials: V
authors.lastname: Tomulescu
authors.forename: D
authors.initials: D
authors.lastname: Hrehoret
authors.forename: A
authors.initials: A
authors.lastname: Popescu
authors.forename: V
authors.initials: V
authors.lastname: Herlea
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D016896:Treatment Outcome