open access
Laparoscopic adrenalectomy for management of incidentaloma and adrenal masses in patients with hormonal hypertension
open access
Abstract
Laparoscopic adrenalectomy replaced all other surgical approaches to the adrenals for patients with nonfunctioning tumors (incidentaloma) and various functional tumors, including aldosteronomas, Cushing’s syndrome and pheochromocytomas.
Only large tumor size (> 8 cm), evidence of a local tumor invasiveness or a large primary adrenal malignancy are now considered contraindications to a laparoscopic approach.
The effect of laparoscopic adrenalectomy on blood pressure and biochemical response should also be taken into consideration, especially in patients with primary hiperaldosteronism, Cushing’s syndrome and pheochromocytoma.
We present the experience of one clinical center with laparoscopic adrenalectomy, based on a series of 158 patients with nonfunctional (42%) and functional adrenal tumors (58%). We also discuss our operative results and the clinical outcomes. Our results indicate that laparoscopic adrenalectomy is an effective treatment for adrenal disorders.
Abstract
Laparoscopic adrenalectomy replaced all other surgical approaches to the adrenals for patients with nonfunctioning tumors (incidentaloma) and various functional tumors, including aldosteronomas, Cushing’s syndrome and pheochromocytomas.
Only large tumor size (> 8 cm), evidence of a local tumor invasiveness or a large primary adrenal malignancy are now considered contraindications to a laparoscopic approach.
The effect of laparoscopic adrenalectomy on blood pressure and biochemical response should also be taken into consideration, especially in patients with primary hiperaldosteronism, Cushing’s syndrome and pheochromocytoma.
We present the experience of one clinical center with laparoscopic adrenalectomy, based on a series of 158 patients with nonfunctional (42%) and functional adrenal tumors (58%). We also discuss our operative results and the clinical outcomes. Our results indicate that laparoscopic adrenalectomy is an effective treatment for adrenal disorders.
Keywords
laparoscopic adrenalectomy; incidentaloma; Cushing syndrome; Conn syndrome; pheochromocytoma
Title
Laparoscopic adrenalectomy for management of incidentaloma and adrenal masses in patients with hormonal hypertension
Journal
Issue
Article type
Review paper
Pages
139-146
Published online
2004-04-06
Page views
838
Article views/downloads
3288
Bibliographic record
Nadciśnienie tętnicze 2004;8(2):139-146.
Keywords
laparoscopic adrenalectomy
incidentaloma
Cushing syndrome
Conn syndrome
pheochromocytoma
Authors
Maciej Otto
Anna Kasperlik-Załuska
Andrzej Januszewicz
Sławomir Nazarewski
Jacek Dzwonkowski
Mariola Pęczkowska
Aleksander Prejbisz