[Laparoscopic adrenalectomy for metachronous metastasis. Experience in 12 cases].
OBJECTIVE
To assess the peroperative and oncological results of laparoscopic adrenalectomy for an isolated metastasis.


METHODS
A retrospective, descriptive study was conducted of 12 laparoscopic adrenalectomies performed for metastases out of a total of 40 adrenalectomies performed from May 1998 to April 2009. The primary tumor was pulmonary in 7 patients, renal in 3, and colonic in 2. Demographic data collected included median age, operating time, blood loss, complications, tumor size, and length of hospital stay. The Kaplan-Meier method was used to analyze survival.


RESULTS
Operating time was 150 min (range, 90-206). Peroperative bleeding was 60 ml (range, 15-150). Peroperative complications occurred in 3% of patients. Tumor size was 4.5 cm (range, 1.3-8.5). No positive margins were seen in the resected specimens. Hospital stay was 3 days (range 3-5). Actuarial survival was 55.6% at 23 months (range, 2-38) with mean and median follow-up times of 20.9 and 23 months.


CONCLUSIONS
In selected patients, laparoscopic adrenalectomy for metastasis is a safe procedure with oncological results superimposable to those of open surgery.
Pascual Piédrola
J I
JI
Departamento de Urología, Clínica Universidad de Navarra, Pamplona, Navarra, España. ipascualp@unav.es
Rincón Mayans
A
A
Tolosa Eizaguirre
E
E
Barba Abad
J
J
Romero Vargas
L
L
Rosell Costa
D
D
D000310:Adrenal Gland Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods*; D000368:Aged; D002277:Carcinoma / Q000401:mortality / Q000556:secondary* / Q000601:surgery; D003110:Colonic Neoplasms / Q000473:pathology; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D007680:Kidney Neoplasms / Q000473:pathology; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D047368:Tumor Burden