title: Laparoscopic adrenalectomy by the lateral transperitoneal approach in patients with a history of previous abdominal surgery.
abstract: BACKGROUND
  Even the half of patients undergoing laparoscopic adrenalectomy has history of previous abdominal surgeries. However, it is still uncertain if this fact has an impact on the operation itself as well as the postoperative course.
  
  
  OBJECTIVE
  To analyze the effects of previous abdominal surgery on surgical outcomes in adrenal tumor patients subjected to laparoscopic adrenalectomy.
  
  
  METHODS
  This study included 268 patients with adrenal gland tumors operated on by means of laparoscopic lateral transperitoneal adrenalectomy: 1) previously subjected to at least one abdominal surgery (group A, n = 101), or 2) with no history of previous abdominal operations (group B, n = 167).
  
  
  RESULTS
  Groups A and B did not differ in terms of tumor size (p = 0.132), mean operation time (p = 0.456), mean intraoperative blood loss (p = 0.754), or perioperative complication rate (p = 0.833). Dissection of intraperitoneal adhesions was considered difficult in 32 patients from group A (31.6%) and 8 subjects from group B (4.7%, p < 0.001). Conversion was required in three subjects from group A (2.9%) and 3 patients from group B (1.8%, p = 0.529).
  
  
  CONCLUSIONS
  Previous abdominal surgery does not constitute a contraindication to laparoscopic transperitoneal adrenalectomy.
authors.affiliation: 2 Department of Surgery, Medical College, Jagiellonian University, Krakow, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Pędziwiatr
authors.forename: Maciej
authors.initials: M
authors.lastname: Matłok
authors.forename: Jan
authors.initials: J
authors.lastname: Kulawik
authors.forename: Piotr
authors.initials: P
authors.lastname: Major
authors.forename: Piotr
authors.initials: P
authors.lastname: Budzyński
authors.forename: Anna
authors.initials: A
authors.lastname: Zub-Pokrowiecka
authors.forename: Andrzej
authors.initials: A
authors.lastname: Budzyński
keywords: adrenal tumors; laparoscopic adrenalectomy; previous surgery