Laparoscopic simultaneous bilateral partial and total adrenalectomy: a longer follow-up.
OBJECTIVE
To examine the feasibility and safety of laparoscopic simultaneous bilateral adrenal surgery (LSBAS) and to compare the results between laparoscopic total adrenalectomy (TA) and partial adrenalectomy (PA).


METHODS
Between 1999 and January 2008, 12 patients underwent LBAS in our institution, with TA used in four with Cushing's disease refractory to pituitary surgery or radiation, in one with occult ectopic adrenocorticotropic hormone (ACTH) Cushing's syndrome, and one with bilateral adrenal macronodular hyperplasia. Six patients (five with primary aldosteronism and one with Cushing's syndrome) had bilateral functioning tumours had bilateral PAs.


RESULTS
All 12 operations were completed with no intraoperative complication, conversion, re-operation or death. The mean (range) operative duration was 323 (180-560) min, and the mean estimated blood loss was 79 (20-200) mL. There was adrenal insufficiency after surgery in three patients. Patients who had a PA had significantly longer surgery than those treated with TA, with a mean (sd) of 390 (36) vs 255 (27) min.


CONCLUSIONS
LSBAS is technically feasible; although surgery was longer than TA, bilateral PA in patients with bilateral functioning tumours mitigated the need for life-long steroid replacement.
Liao
Chun-Hou
CH
Division of Urology, Department of Surgery, Cardinal Tien Hospital, Fu Jen Catholic University, Hsin Chuang, Taiwan.
Chung
Shiu-Dong
SD
Lai
Ming-Kuen
MK
Yu
Hong-Jeng
HJ
Chueh
Shih-Chieh
SC