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Hazards of laparoscopic adrenalectomy for Conn's adenoma

When enthusiasm turns to tragedy

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Abstract.

A 74-year-old man with primary aldosteronism had a small tumor (27 × 23 mm) of his right adrenal gland successfully removed by a transperitoneal laparoscopy. Despite absence of malignancy in the resected tumor and complete relief of all symptoms in the immediate postoperative period, recurrence occurred 6 months later. The tumor behaved as a carcinoma spread in the peritoneal cavity, and the patient eventually died with peritoneal carcinomatosis. We suggest that the laparoscopic technique coupled with pneumoperitoneum may have favored this recurrence.

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Authors and Affiliations

  1. Department of Endocrine Surgery, Saint-Luc Hospital, University of Louvain Medical School, Hippocrate Ave 10-B-1200, Brussels, Belgium, BE

    A. Foxius & J.-P. Squifflet

  2. Department of Abdominal Surgery, Saint-Luc Clinic, Bouge, Belgium, BE

    A. Ramboux & B. Broze

  3. Department of Urology, Saint-Luc Clinic, Bouge, Belgium, BE

    Y. Lefebvre

  4. Institut de Pathologie et de Génétique, Loverval, Belgium, BE

    J. Hamels

Authors
  1. A. Foxius
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  2. A. Ramboux
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  3. Y. Lefebvre
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  4. B. Broze
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  5. J. Hamels
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  6. J.-P. Squifflet
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Received: 7 September 1998/Accepted: 12 February 1999

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Foxius, A., Ramboux, A., Lefebvre, Y. et al. Hazards of laparoscopic adrenalectomy for Conn's adenoma. Surg Endosc 13, 715–717 (1999). https://doi.org/10.1007/s004649901080

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  • DOI: https://doi.org/10.1007/s004649901080

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