Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. The aim of this study is to evaluate the results of laparoscopic adrenalectomy in a single centre. Methods: We reviewed clinical data on 32 adrenalectomies performed at our istitution from 2009 to 2012. The average age of patients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioning tumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneal lateral access. Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was necessary. The median operative time and blood loss in two group were similar. Only in a case of non-functioning left adrenal mass we had a significative intraoperative blood loss managed via laparoscopy with hemostatic matrix. 3 patients with aldosteronoma became normotensive and no longer required postoperative blood pressure medications. 9 patients with Cushing adenoma had resolution or improvement of clinical signs during follow-up periods. In a case at definitive histological analysis we found an adrenocortical carcinoma treated with no capsular disruption during dissection. Conclusions: The results of this retrospective review document that laparoscopic adrenalectomy is a safe and effective treatment for functioning as well as and non-functioning adrenal tumors. Pre-operative workup plays a fundamental role in these diseases. Mere size should not be considered as a contraindication to laparoscopic approach in adrenal masses without signs of local invasion.

Agrusa, A., Romano, G., De Vita, G., Frazzetta, G., Chianetta, D., Di Buono, G., et al. (2013). LAPAROSCOPIC ADRENALECTOMY: SINGLE CENTRE EXPERIENCE.. In Il giornale di chirurgia. (pp.78-78). CIC - Edizioni Internazionali.

LAPAROSCOPIC ADRENALECTOMY: SINGLE CENTRE EXPERIENCE.

AGRUSA, Antonino;ROMANO, Giorgio;DE VITA, Giovanni;FRAZZETTA, Giuseppe;CHIANETTA, Daniela;DI BUONO, Giuseppe;GULOTTA, Gaspare
2013-01-01

Abstract

Objective: Laparoscopic adrenalectomy is today considered the gold standard treatment for all benign adrenal tumors. The aim of this study is to evaluate the results of laparoscopic adrenalectomy in a single centre. Methods: We reviewed clinical data on 32 adrenalectomies performed at our istitution from 2009 to 2012. The average age of patients was 47 years (range 38-68); 18 were men and 14 women. For the clinical analysis, patients were divided into the nonfunctioning tumor group (n = 20) and the functioning tumor group (n = 12). All operations were performed via transperitoneal lateral access. Results: All laparoscopic adrenalectomy were finished successfully and no open surgery was necessary. The median operative time and blood loss in two group were similar. Only in a case of non-functioning left adrenal mass we had a significative intraoperative blood loss managed via laparoscopy with hemostatic matrix. 3 patients with aldosteronoma became normotensive and no longer required postoperative blood pressure medications. 9 patients with Cushing adenoma had resolution or improvement of clinical signs during follow-up periods. In a case at definitive histological analysis we found an adrenocortical carcinoma treated with no capsular disruption during dissection. Conclusions: The results of this retrospective review document that laparoscopic adrenalectomy is a safe and effective treatment for functioning as well as and non-functioning adrenal tumors. Pre-operative workup plays a fundamental role in these diseases. Mere size should not be considered as a contraindication to laparoscopic approach in adrenal masses without signs of local invasion.
Settore MED/18 - Chirurgia Generale
giu-2013
XXV National Congress of the “Società Polispecialistica Italiana dei Giovani Chirurghi” 13-15 June 2013, Bari, Italy
BARI
13 - 15 Giugno 2013
25
1
Agrusa, A., Romano, G., De Vita, G., Frazzetta, G., Chianetta, D., Di Buono, G., et al. (2013). LAPAROSCOPIC ADRENALECTOMY: SINGLE CENTRE EXPERIENCE.. In Il giornale di chirurgia. (pp.78-78). CIC - Edizioni Internazionali.
Proceedings (atti dei congressi)
Agrusa, A; Romano, G; De Vita, G; Frazzetta, G; Chianetta, D; Di Buono, G; Gulotta, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10447/82604
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