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Laparoscopic adrenalectomy—10-year experience at a teaching hospital

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Abstract

Background

Minimally invasive adrenalectomy has been adopted as the treatment of choice for benign adrenal tumors. This study aimed to investigate the outcome of laparoscopic adrenalectomies performed over a 10-year period at a teaching hospital.

Methods

All laparoscopic adrenalectomies carried out between 1 April 2000 and 31 March 2010 were evaluated with respect to perioperative management, complications, conversion rate, learning curve, tumor size, and surgically relevant characteristics of different adrenal pathologies.

Results

Over a period of 10 years, 215 laparoscopic lateral transabdominal adrenalectomies were carried out for Conn’s syndrome (n = 90), Cushing’s syndrome (n = 72), pheochromocytoma (n = 30), metastatic disease (n = 8), incidentalomas (n = 10), and other rare adrenal pathologies (n = 5). Morbidity, mortality, and conversion rate were 7.0, 0.9, and 4.2 %, respectively. Patients with Cushing’s disease and bilateral adrenalectomy showed a higher complication rate. In retrospect, the indication for a laparoscopic approach was at least questionable in five cases. During these 10 years, four surgeons unfamiliar with the technique received intensive training to a defined plan.

Conclusions

Laparoscopic adrenalectomy represents a safe operating technique associated with few complications and a low conversion rate. Patients with severe Cushing’s disease are prone to complications and require intensive monitoring postoperatively. Laparoscopic adrenalectomy is associated with a learning curve, and particular emphasis should be given to surgical training.

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Acknowledgments

We would like to thank Dr. Lars Borgman (Center for Higher Education, Dortmund University, Germany) for his statistical support.

Conflicts of interest

None.

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Authors and Affiliations

  1. Department of Surgery, Innenstadt Medical Campus, Ludwig-Maximilians University, Nussbaumstrasse 20, 80336, Munich, Germany

    Sandra Sommerey, Yalda Foroghi, Costanza Chiapponi, Sebastian F. Baumbach, Klaus K. J. Hallfeldt & Roland Ladurner

  2. Department of Obstetrics and Gynecology, Grosshadern Medical Campus, Ludwig-Maximilians University, Marchioninistr. 15, 81377, Munich, Germany

    Julia K. S. Gallwas

Authors
  1. Sandra Sommerey
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  2. Yalda Foroghi
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  3. Costanza Chiapponi
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  4. Sebastian F. Baumbach
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  5. Klaus K. J. Hallfeldt
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  6. Roland Ladurner
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  7. Julia K. S. Gallwas
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Corresponding author

Correspondence to Klaus K. J. Hallfeldt.

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Sommerey, S., Foroghi, Y., Chiapponi, C. et al. Laparoscopic adrenalectomy—10-year experience at a teaching hospital. Langenbecks Arch Surg 400, 341–347 (2015). https://doi.org/10.1007/s00423-015-1287-x

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  • DOI: https://doi.org/10.1007/s00423-015-1287-x

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