Acta Cirurgica Brasileira
On-line version ISSN 1678-2674
TIRABOSCHI, Ricardo Brianezi et al. Laparoscopic adrenalectomy: analysis of 11 pacients. Acta Cir. Bras. [online]. 2003, vol.18, suppl.5, pp. 41-42. ISSN 1678-2674. http://dx.doi.org/10.1590/S0102-86502003001200015.
OBJECTIVE: To analyze the initial experience of the Division of Urology from HCFMRP-USP on the transperitoneal laparoscopic adrenalectomy. METHODS: We analyze retrospectively 11 cases of laparoscopic adrenalectomy carried out from February of 1,999 to March of 2,003. The sample included all patients operated on through this method in such period and was composed of 3 (27%) men and 8 (73%) women with a mean age of 40,2 ± 13,1 years. The patients had the following diagnosis: adenoma - 5, Cushing's syndrome - 3, feocromocytoma - 1, Conn's syndrome - 1 and Carey's syndrome - 1. RESULTS: The adrenalectomy was bilateral in 5 (45.4%) patients and unilateral in 6 (54.6%) being 4 (36.4%) on the right side and 2 (18.2%) on the left side. The mean hospital stay was 3,6 ± 1,1 days and the mean operating time was 220,5 ± 103,7 minutes. Conversion to open surgery was required in 2 patients (18.2%). CONCLUSION: The results of laparoscopic adrenalectomy were similar to those reported elsewhere and corroborate the safety and efficacy of the method resulting in an acceptable surgical time, faster postoperative recovery and shorter hospital stay.
Keywords : Laparoscopy; Adrenalectomy; Adenoma; Cushing; Conn; Carey.