Skip to main content
Log in

Has Laparoscopy Impacted the Indications for Adrenalectomy?

  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Laparoscopic adrenalectomy has assumed a greater role in the surgical management of tumors of the adrenal gland. Accompanying this evolution from open to minimally invasive surgery is the inevitable question of whether such change has impacted contemporary indications for adrenalectomy. We explore this question through a review of current laparoscopic adrenalectomy series in the context of established indications for surgical extirpation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Welbourn RB: The History of Endocrine Surgery. New York: Praeger; 1990.

    Google Scholar 

  2. Ballian N, Adler JT, Sippel RS, et al.: Revisiting adrenal mass size as an indication for adrenalectomy. J Surg Res 2009, 156:16–20.

    Article  PubMed  Google Scholar 

  3. Campbell MF, Wein AJ, Kavoussi LR: Campbell-Walsh Urology. Edited by Wein AJ, Kavoussi LR, Novick AC, et al. Philadelphia: W.B. Saunders; 2007.

  4. Zhang XP, Wei JX, Zhang WX, et al.: Transperitoneal laparoscopic adrenalectomy for adrenal neoplasm: a report of 371 cases [in Chinese]. Ai Zheng 2009, 28:730–733.

    Google Scholar 

  5. McKenzie TJ, Lillegard JB, Young WF Jr, et al.: Aldosteronomas: state of the art. Surg Clin North Am 2009, 89:1241–1253.

    Article  PubMed  Google Scholar 

  6. Meurisse M, Joris J, Hamoir E, et al.: Laparoscopic removal of pheochromocytoma. Why? When? and Who? (reflections on one case report). Surg Endosc 1995, 9:431–436.

    Article  CAS  PubMed  Google Scholar 

  7. Col V, de Canniere L, Collard E, et al.: Laparoscopic adrenalectomy for phaeochromocytoma: endocrinological and surgical aspects of a new therapeutic approach. Clin Endocrinol (Oxf) 1999, 50:121–125.

    Article  CAS  Google Scholar 

  8. Toniato A, Boschin I, Bernante P, et al.: Laparoscopic adrenalectomy for pheochromocytoma: is it really more difficult? Surg Endosc 2007, 21:1323–1326.

    Article  PubMed  Google Scholar 

  9. • Toniato A, Boschin IM, Opocher G, et al.: Is the laparoscopic adrenalectomy for pheochromocytoma the best treatment? Surgery 2007, 141:723–727. This is a review of 64 adrenalectomy cases (40 laparoscopic and 24 open) for pheochromocytoma. The laparoscopic approach allowed for successful surgical extirpation with favorable operative and postoperative outcomes compared with the open approach.

    Article  PubMed  Google Scholar 

  10. Meyer-Rochow GY, Soon PS, Delbridge LW, et al.: Outcomes of minimally invasive surgery for phaeochromocytoma. ANZ J Surg 2009, 79:367–370.

    Article  PubMed  Google Scholar 

  11. Castilho LN, Simoes FA, Santos AM, et al.: Pheochromocytoma: a long-term follow-up of 24 patients undergoing laparoscopic adrenalectomy. Int Braz J Urol 2009, 35:24–31; discussion 32–35.

    Google Scholar 

  12. Tatsugami K, Eto M, Hamaguchi M, et al.: What affects the results of a laparoscopic adrenalectomy for pheochromocytoma? Evaluation with respect to intraoperative blood pressure and state of tumor. J Endourol 2009, 23:101–105.

    Article  PubMed  Google Scholar 

  13. Porterfield JR, Thompson GB, Young WF Jr. et al.: Surgery for Cushing’s syndrome: a historical review and recent ten-year experience. World J Surg 2008, 32:659–677.

    Article  PubMed  Google Scholar 

  14. Thompson SK, Hayman AV, Ludlam WH, et al.: Improved quality of life after bilateral laparoscopic adrenalectomy for Cushing's disease: a 10-year experience. Ann Surg 2007, 245:790–794.

    Article  PubMed  Google Scholar 

  15. Kazaryan AM, Marangos IP, Rosseland AR, et al.: Laparoscopic adrenalectomy: Norwegian single-center experience of 242 procedures. J Laparoendosc Adv Surg Tech A 2009, 19:181–189.

    Article  PubMed  Google Scholar 

  16. Kirshtein B, Yelle JD, Moloo H, et al.: Laparoscopic adrenalectomy for adrenal malignancy: a preliminary report comparing the short-term outcomes with open adrenalectomy. J Laparoendosc Adv Surg Tech A 2008, 18:42–46.

    Article  PubMed  Google Scholar 

  17. Vassilopoulou-Sellin R, Schultz PN: Adrenocortical carcinoma. Clinical outcome at the end of the 20th century. Cancer 2001, 92:1113–1121.

    Article  CAS  PubMed  Google Scholar 

  18. McCauley LR, Nguyen MM: Laparoscopic radical adrenalectomy for cancer: long-term outcomes. Curr Opin Urol 2008, 18:134–138.

    Article  PubMed  Google Scholar 

  19. Castillo OA, Vitagliano G, Kerkebe M, et al.: Laparoscopic adrenalectomy for suspected metastasis of adrenal glands: our experience. Urology 2007, 69:637–641.

    Article  PubMed  Google Scholar 

  20. Marangos IP, Kazaryan AM, Rosseland AR, et al.: Should we use laparoscopic adrenalectomy for metastases? Scandinavian multicenter study. J Surg Oncol 2009, 100:43–47.

    Article  PubMed  Google Scholar 

  21. Bonnet S, Gaujoux S, Leconte M, et al.: Laparoscopic adrenalectomy for metachronous metastasis from renal cell carcinoma. World J Surg 2008, 32:1809–1814.

    Article  PubMed  Google Scholar 

  22. •• Strong VE, D'Angelica M, Tang L, et al.: Laparoscopic adrenalectomy for isolated adrenal metastasis. Ann Surg Oncol 2007, 14:3392–3400. This is a retrospective study of almost 100 adrenalectomies (63 open and 31 laparoscopic) performed for isolated solitary metastases. The laparoscopic approach yielded improved measures of perioperative convalescence without compromising on operative principles of oncologic resection or long-term disease-free interval.

    Article  PubMed  Google Scholar 

  23. Henry JF, Sebag F, Iacobone M, et al.: Results of laparoscopic adrenalectomy for large and potentially malignant tumors. World J Surg 2002, 26:1043–1047.

    Article  PubMed  Google Scholar 

  24. Gonzalez RJ, Shapiro S, Sarlis N, et al.: Laparoscopic resection of adrenal cortical carcinoma: a cautionary note. Surgery 2005, 138:1078–1085; discussion 1085–1086.

    Google Scholar 

  25. Boylu U, Oommen M, Lee BR, et al.: Laparoscopic adrenalectomy for large adrenal masses: pushing the envelope. J Endourol 2009, 23:971–975.

    Article  PubMed  Google Scholar 

  26. Erbil Y, Barbaros U, Karaman G, et al.: The change in the principle of performing laparoscopic adrenalectomy from small to large masses. Int J Surg 2009, 7:266–271.

    Article  PubMed  Google Scholar 

  27. Hemal AK, Singh A, Gupta NP: Whether adrenal mass more than 5 cm can pose problem in laparoscopic adrenalectomy? An evaluation of 22 patients. World J Urol 2008, 26:505–508.

    Article  PubMed  Google Scholar 

  28. Castillo OA, Vitagliano G, Secin FP, et al.: Laparoscopic adrenalectomy for adrenal masses: does size matter? Urology 2008, 71:1138–1141.

    Article  PubMed  Google Scholar 

  29. •• Lee J, El-Tamer M, Schifftner T, et al.: Open and laparoscopic adrenalectomy: analysis of the National Surgical Quality Improvement Program. J Am Coll Surg 2008, 206:953–959; discussion 959–961. This article offers an analysis of almost 700 adrenalectomy cases recorded in the Veterans Affairs National Surgical Quality Improvement Program database. After adjusting for confounding factors, 30-day morbidity was significantly greater for patients undergoing an open adrenalectomy.

    Article  PubMed  Google Scholar 

Download references

Disclosure

No potential conflicts of interest relevant to this article were reported.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jay D. Raman.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hall, D.W., Raman, J.D. Has Laparoscopy Impacted the Indications for Adrenalectomy?. Curr Urol Rep 11, 132–137 (2010). https://doi.org/10.1007/s11934-009-0089-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11934-009-0089-5

Keywords

Navigation