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Laparoscopic adrenal surgery

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Abstract

Laparoscopic adrenalectomy (LA) was performed in 6 patients (4 right and 2 left). A transperitoneal approach in a lateral position was used. Pheochromocystoma was present in two patients and Conn's syndrome, with a solitary functioning adenoma, was the diagnosis in four. Early vascular control was obtained in the two patients with pheochromocytoma, resulting in very stable intraoperative blood pressure. Operative time for LA was 152±26 min and was associated with a short length of stay (2.0±0.6 days) and minimal intraoperative blood loss (82±30 ml). There were no conversions to laparotomy and one complication was noted. LA is a safe and effective operation for patients requiring adrenalectomy for hormone-secreting tumors.

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Authors and Affiliations

  1. Department of Surgery, The Fallon Clinic, St. Vincent Hospital, 135 Goldstar Boulevard, 01606, Worcester, MA, USA

    M. E. Stoker, N. Patwardhan & B. S. Maini

  2. The University of Massachusetts Medical School, 01655, Worcester, MA, USA

    M. E. Stoker, N. Patwardhan & B. S. Maini

Authors
  1. M. E. Stoker
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  2. N. Patwardhan
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  3. B. S. Maini
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Stoker, M.E., Patwardhan, N. & Maini, B.S. Laparoscopic adrenal surgery. Surg Endosc 9, 387–391 (1995). https://doi.org/10.1007/BF00187156

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  • DOI: https://doi.org/10.1007/BF00187156

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