title: [Surgical adrenal approaches: learned experiences].
abstract: BACKGROUND
  Laparoscopic surgery is the standard approach for surgical adrenal gland pathology. However, the open procedure still has its role.
  
  
  OBJECTIVE
  Our intention is to report our results and experience using different techniques.
  
  
  METHODS
  A retrospective study of 40 patients was carried out. Demographic and surgical data were analyzed.
  
  
  RESULTS
  Thirty two patients had benign pathology and eight had malignant tumors. Laparotomy was performed in 18 patients: seven patients with malignant tumors and 11 with benign pathology. Young's approach was indicated in four patients. Laparoscopic aproach was indicated in 25 patients with seven patients requiring conversion to laparotomy. The conversion rate was 28%
  
  
  CONCLUSIONS
  In most cases, the laparoscopic approach is the standard technique. Appropriate case selection is of primary importance. Other surgical techniques should be considered if necessary.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elda (Alicante), Spain.
authors.forename: Santos
authors.initials: S
authors.lastname: Bravo-Lázaro
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elda (Alicante), Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Hernandis-Villalba
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elda (Alicante), Spain.
authors.forename: Emilio
authors.initials: E
authors.lastname: Meroño-Carbajosa
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elda (Alicante), Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Navío-Perales
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Elda (Alicante), Spain.
authors.forename: Vicente
authors.initials: V
authors.lastname: Marzal-Felici
mesh_terms: D000307:Adrenal Gland Diseases / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000601:surgery; D000311:Adrenal Glands / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D001803:Blood Transfusion / Q000706:statistics & numerical data; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Adrenalectomy; adrenalectomía; endocrine surgical procedures; laparoscopia; laparoscopy; procedimientos quirúrgicos endocrinos