Vol 8, No 2 (2004)
Review paper
Published online: 2004-04-06
Laparoscopic adrenalectomy for management of incidentaloma and adrenal masses in patients with hormonal hypertension
Nadciśnienie tętnicze 2004;8(2):139-146.
Abstract
During the past decade, laparoscopic adrenalectomy has replaced open adrenalectomy as the preferred method for removal of the most of adrenal tumors. The benefits of laparoscopic versus open adrenalectomy have been established by several groups and include decreased postoperative pain,
a shortened hospitalization and a more rapid convalescence.
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.
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 adrenalectomyincidentalomaCushing syndromeConn syndromepheochromocytoma