Laparoscopic adrenalectomy for adrenal masses in children.
OBJECTIVE
The laparoscopic approach to the adrenal gland was first reported in 1992. Since then numerous studies have been published, comprising of adults. Experience with the laparoscopic technique for adrenal disease in children and adolescents has been limited. We have reviewed our experience with laparoscopic adrenal surgery in children.


METHODS
All children with pathologic adrenal masses undergoing laparoscopic adrenal surgery were included. The primary study outcome measures included operative time, conversion to open surgery, complications, duration of hospital stay and outcome of surgery.


RESULTS
Eighteen children underwent laparoscopic adrenalectomy during the period January 2003-July 2009. The mean operating time was 95 min, mean blood loss was 30 ml and the average postoperative hospital stay was 50h. There were no conversions to open surgery and no major intra- or postoperative complications noted.


CONCLUSIONS
Laparoscopic adrenalectomy is a safe and feasible procedure with good results. It can be used to safely treat suspected benign and malignant adrenal masses in children with minimal morbidity and a shorter hospital stay.
Nerli
Rajendra B
RB
Department of Urology, KLES Kidney Foundation, KLE University's JN Medical College, Belgaum 590010, Karnataka, India. rajendranerli@yahoo.in
Reddy
Mallikarjun N
MN
Guntaka
Ajaykumar
A
Patil
Shivagouda
S
Hiremath
Murigendra
M
D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003480:Cushing Syndrome / Q000601:surgery; D003560:Cysts / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D009447:Neuroblastoma / Q000601:surgery*; D010673:Pheochromocytoma / Q000601:surgery*; D012189:Retrospective Studies