Laparoscopic Adrenalectomy for Adrenal Tumors

Objective. To evaluate the indication and the clinical value of laparoscopic adrenalectomy of different types of adrenal tumor. Methods. From 2009 to 2014, a total of 110 patients were diagnosed with adrenal benign tumor by CT scan and we performed laparoscopic adrenalectomy. The laparoscopic approa...

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Main Authors: Sun Chuan-yu, Ho Yat-faat, Ding Wei-hong, Gou Yuan-cheng, Hu Qing-feng, Xu Ke, Gu Bin, Xia Guo-wei
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2014/241854
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author Sun Chuan-yu
Ho Yat-faat
Ding Wei-hong
Gou Yuan-cheng
Hu Qing-feng
Xu Ke
Gu Bin
Xia Guo-wei
author_facet Sun Chuan-yu
Ho Yat-faat
Ding Wei-hong
Gou Yuan-cheng
Hu Qing-feng
Xu Ke
Gu Bin
Xia Guo-wei
author_sort Sun Chuan-yu
collection DOAJ
description Objective. To evaluate the indication and the clinical value of laparoscopic adrenalectomy of different types of adrenal tumor. Methods. From 2009 to 2014, a total of 110 patients were diagnosed with adrenal benign tumor by CT scan and we performed laparoscopic adrenalectomy. The laparoscopic approach has been the procedure of choice for surgery of benign adrenal tumors, and the upper limit of tumor size was thought to be 6 cm. Results. 109 of 110 cases were successful; only one was converted to open surgery due to bleeding. The average operating time and intraoperative blood loss of pheochromocytoma were significantly more than the benign tumors (P<0.05). After 3 months of follow-up, the preoperative symptoms were relieved and there was no recurrence. Conclusions. Laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery, and shorter hospital stay. The full preparation before operation can decrease the average operating time and intraoperative blood loss of pheochromocytomas. Laparoscopic adrenalectomy should be considered as the first choice treatment for the resection of adrenal benign tumor.
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institution Kabale University
issn 1687-8337
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series International Journal of Endocrinology
spelling doaj-art-7be3a4b56c99465bb74e9865c4211fdf2025-02-03T05:44:54ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/241854241854Laparoscopic Adrenalectomy for Adrenal TumorsSun Chuan-yu0Ho Yat-faat1Ding Wei-hong2Gou Yuan-cheng3Hu Qing-feng4Xu Ke5Gu Bin6Xia Guo-wei7Department of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital of Fudan University, Shanghai 200040, ChinaObjective. To evaluate the indication and the clinical value of laparoscopic adrenalectomy of different types of adrenal tumor. Methods. From 2009 to 2014, a total of 110 patients were diagnosed with adrenal benign tumor by CT scan and we performed laparoscopic adrenalectomy. The laparoscopic approach has been the procedure of choice for surgery of benign adrenal tumors, and the upper limit of tumor size was thought to be 6 cm. Results. 109 of 110 cases were successful; only one was converted to open surgery due to bleeding. The average operating time and intraoperative blood loss of pheochromocytoma were significantly more than the benign tumors (P<0.05). After 3 months of follow-up, the preoperative symptoms were relieved and there was no recurrence. Conclusions. Laparoscopic adrenalectomy has the advantages of minimal invasion, less blood loss, fewer complications, quicker recovery, and shorter hospital stay. The full preparation before operation can decrease the average operating time and intraoperative blood loss of pheochromocytomas. Laparoscopic adrenalectomy should be considered as the first choice treatment for the resection of adrenal benign tumor.http://dx.doi.org/10.1155/2014/241854
spellingShingle Sun Chuan-yu
Ho Yat-faat
Ding Wei-hong
Gou Yuan-cheng
Hu Qing-feng
Xu Ke
Gu Bin
Xia Guo-wei
Laparoscopic Adrenalectomy for Adrenal Tumors
International Journal of Endocrinology
title Laparoscopic Adrenalectomy for Adrenal Tumors
title_full Laparoscopic Adrenalectomy for Adrenal Tumors
title_fullStr Laparoscopic Adrenalectomy for Adrenal Tumors
title_full_unstemmed Laparoscopic Adrenalectomy for Adrenal Tumors
title_short Laparoscopic Adrenalectomy for Adrenal Tumors
title_sort laparoscopic adrenalectomy for adrenal tumors
url http://dx.doi.org/10.1155/2014/241854
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AT hoyatfaat laparoscopicadrenalectomyforadrenaltumors
AT dingweihong laparoscopicadrenalectomyforadrenaltumors
AT gouyuancheng laparoscopicadrenalectomyforadrenaltumors
AT huqingfeng laparoscopicadrenalectomyforadrenaltumors
AT xuke laparoscopicadrenalectomyforadrenaltumors
AT gubin laparoscopicadrenalectomyforadrenaltumors
AT xiaguowei laparoscopicadrenalectomyforadrenaltumors