Skip to main content

Advertisement

SpringerLink
Log in

Complications of laparoscopic adrenalectomies

Komplikationen der laparoskopischen Adrenalektomie

  • Main Topics: Advanced Endoscopic Adrenal Surgery — New Developments
  • Published:
European Surgery Aims and scope Submit manuscript

Summary

Background: The laparoscopic approach to adrenalectomy has gained wide acceptance and is at the present time considered the ‘gold standard’ approach.

Methods: An analysis of the literature nevertheless reveals dramatic and sometimes tragic complications. They occur during access to the operative field, during exposure of the adrenal area and during dissection of the gland, causing haemorrhages and various organ injuries.

Results: Complications are inherent in any surgical procedure. Respecting standard laparoscopic rules, quickly converting to an open procedure if necessary, and using high-quality materials can minimize their incidence.

Conclusions: In this article, we describe most of the complications that can occur during laparoscopic adrenalectomies, and try to explain their origin as well as ways to prevent them.

Zusammenfassung

Grundlagen: Der Einsatz der Laparoskopie zur Adrenalektomie hat weitgehende Akzeptanz gefunden und wird heute als Goldstandard angesehen.

Methodik: Die publizierte Literatur beschreibt hingegen dramatische und manchmal tragische Komplikationen. Diese ereignen sich beim operativen Zugang und während der Darstellung und Freilegung der Nebenniere. Dabei kann es zu Blutungen und diversen Organverletzungen kommen.

Ergebnisse: Komplikationen können bei jedem chirurgischen Eingriff auftreten. Ihre Anzahl läßt sich jedoch minimieren unter Beachtung standardisierter laparoskopischer Regeln, der Verwendung hochwertiger Materialien und, falls nötig, durch eine schnelle Umwandlung in eine Laparotomie.

Schlußfolgerungen: Wir beschreiben hier die häufigsten Komplikationen, die während einer laparoskopischen Adrenalektomie auftreten können und versuchen, ihren Ursprung zu erklären sowie Möglichkeiten aufzuzeigen, diese zu vermeiden.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bishoff JT, Affaf ME, Kirkels W, Moore RG, Kavoussi LR, Schroder F: Laparoscopic bowel injury: incidence and clinical presentation. J Urol 1999;161:887–890.

    Article  PubMed  CAS  Google Scholar 

  2. Bonjer HJ, Hazebroek EJ, Kazmier G, Giuffrida MC, Meijer WS, Lange JF: Open versus closed establishment of pneumoperitoneum in laparoscopic surgery. Br J Surg 1997;84:599–602.

    Article  PubMed  CAS  Google Scholar 

  3. Bonjer HJ, Lange JF, Kazemier G, DeHerder WW, Steyerberg EW, Bruining HA: Comparison of three techniques for adrenalectomy. Br J Surg 1997;84:679.

    Article  PubMed  CAS  Google Scholar 

  4. Brunt LM, Doherty GM, Norton JA: Laparoscopic adrenalectomy compared to open adrenalectomy for benign adrenal neoplasms. J Am Coll Surg 1996;183:1.

    PubMed  CAS  Google Scholar 

  5. Brunt LM, Moley JF, Doherty GM, Lairmore TC, DeBenedetti MK, Quasebarth MA: Outcomes analysis in patients undergoing laparoscopic adrenalectomy for hormonally active adrenal tumors. Surgery 2001;130:629–635.

    Article  PubMed  CAS  Google Scholar 

  6. Carlson MA, Frantzides CT: Control of venous haemorrhage during laparoscopic adrenalectomy: a case report. J Laparoendosc Surg 1996;6:349–351.

    PubMed  CAS  Google Scholar 

  7. Clayman RV, Kavoussi LR, Soper NJ: Laparoscopic nephrectomy. N Engl J Med 1991;324:1370.

    PubMed  CAS  Google Scholar 

  8. Corcione F, Esposito C, Cuccurullo D, Settembre A, Fusco F, Bianco A, Cusano T: Vena cava injury. Surg Endosc 2001;15:218.

    PubMed  CAS  Google Scholar 

  9. Corson SL, Chandler JG, Way LW: Survey of laparoscopic entry injuries provoking litigation. Am Assoc Gynecol Laparosc 2001;3:341–347.

    Article  Google Scholar 

  10. Fernandez-Cruz L, Saenz A, Bennarroch G, Sabater L, Taura P: Does hormonal function of the tumor influence the outcome of laparoscopic adrenalectomy? Surg Endosc 1996;10:1088–1091.

    Article  PubMed  CAS  Google Scholar 

  11. Fernandez-Cruz L, Taura P, Saenz A, Bennarroch G, Sabater L: Laparoscopic approach to pheochromocytoma: hemodynamic changes and catecholamine secretion. World J Surg 1996;20:762–768.

    Article  PubMed  CAS  Google Scholar 

  12. Fletcher DR, Beiles CB, Hardy KJ: Laparoscopic adrenalectomy. Aust NZ J Surg 1994;64:427–430.

    Article  CAS  Google Scholar 

  13. Foxius A, Ramboux A, Lefebvre Y, Broze B, Hamels J, Squifflet J: Hazards of laparoscopic adrenalectomy for Conn’s adenoma. When enthusiasm turns to tragedy. Surg Endosc 1999;13:715–717.

    Article  PubMed  CAS  Google Scholar 

  14. Gagner M: Laparoscopic adrenalectomy. Surg Clin North Am 1996;76:523–537.

    Article  PubMed  CAS  Google Scholar 

  15. Gagner M, Lacroix A, Bolté E: Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 1992;327:1033.

    PubMed  CAS  Google Scholar 

  16. Gagner M, Lacroix A, Prinz RA, Bolte E, Albala D, Potvin C, Hamet P, Kuchel O, Quérin S, Pomp A: Early experience with the laparoscopic approach for adrenalectomy. Surgery 1993;114:1120–1124.

    PubMed  CAS  Google Scholar 

  17. Guazzoni G, Cestari A, Montorsi F, Lanzi R, Nava L, Centemero A, Rigatti P: Eight-year experience with transperitoneal laparoscopic adrenal surgery. J Urol 2001;166:820–824.

    Article  PubMed  CAS  Google Scholar 

  18. Heintz A, Walgenbach S, Junginger T: Results of endoscopic retroperitoneal adrenalectomy. Surg Endosc 1996;10:633–635.

    PubMed  CAS  Google Scholar 

  19. Henry JF, Defechereux T, Raffaelli M, Lubrano D, Gramatica L: Complications of laparoscopic adrenalectomy: results of 169 consecutive procedures. World J Surg 2000;24:1342–1346.

    Article  PubMed  CAS  Google Scholar 

  20. Higashihara E, Baba S, Nakagawa K, Murai M, Go H, Takeda M, Takahashi K, Suzuki K, Fujita K, Ono Y, Ohshima S, Matsuda T, Terachi T, Yoshida O: Learning curve and conversion to open surgery in cases of laparoscopic adrenalectomy and nephrectomy. J Urol 1998;159:650–653.

    Article  PubMed  CAS  Google Scholar 

  21. Jacobs, JK, Goldstein RE, Geer RJ: Laparoscopic adrenalectomy. A new standard of care. Ann Surg 1997;225:495.

    Article  PubMed  CAS  Google Scholar 

  22. Kuriansky J, Saenz A, Astudillo E, Ardid J, Cardona V, Fernandez-Cruz L: Laparoscopic adrenalectomy in the elderly. J Laparoendosc Adv Surg Tech 1999;9:317–320.

    Article  CAS  Google Scholar 

  23. Lezoche E, Guerrieri M, Paganini AM, Feliciotti F, Zenobi P, Antognini F, Mantero F: Laparoscopic adrenalectomy by the anterior transperitoneal approach: results of 108 operations in unselected cases. Surg Endosc 2000;14:920–925.

    Article  PubMed  CAS  Google Scholar 

  24. Mancini F, Mutter D, Peix JL, Chapuis Y, Henry JF, Proye C, Cougard P, Marescaux J: Expériencede la surrélalectomie en 1997. A propos de 247 cas. Etude prospective multicentrique de l’Association francophone de chirurgie endocrinienne. Ann Chir 1999;124:368–374.

    CAS  Google Scholar 

  25. Marescaux J, Mutter D: Surgical technique of laparoscopic adrenalectomy. Semin Laparosc Surg 1997;4:223.

    Google Scholar 

  26. Marescaux J, Mutter D, Wheeler M: Laparoscopic right and left adrenalectomies: surgical procedures. Surg Endosc 1996;10:912–915.

    Article  PubMed  CAS  Google Scholar 

  27. Meurisse M, Joris J, Hamoir E, Hubert B, Charlier C: Laparoscopic removal of pheochromocytoma. Why? When? and Who? Surg Endosc 1995;9:431–436.

    Article  PubMed  CAS  Google Scholar 

  28. Miccoli P, Iacconi P, Conte M, Goletti O, Bussianti P: Laparoscopic adrenalectomy. J Laparoendosc Surg 1995;5:221–226.

    PubMed  CAS  Google Scholar 

  29. Mutter D, Wheeler MH, Marescaux J: Laparoscopic management of operative vena cava injury. Surg Laparosc Endosc Percutan Tech 1999;9:303–305.

    Article  PubMed  CAS  Google Scholar 

  30. Nagesser SK, Kievit J, Hermans J, Krans HMJ, Van Velde de CJH: The surgical approach to the adrenal gland: a comparison of the retroperitoneal and the transabdominal routes in 326 operations on 284 patients. Jpn J Clin Oncol 2000;30:68–74.

    Article  PubMed  CAS  Google Scholar 

  31. Ostrzenski A: Laparoscopic intestinal injury: a review and case presentation. J Natl Med Assoc 2001;11:440–443.

    Google Scholar 

  32. Porte RJ, Coerkamp EG, Koumans RK: False aneurysm of a hepatic artery branch and a recurrent subphrenic abscess: two unusual complications after laparoscopic cholecystectomy. Surg Endosc 1996;10:161–163.

    PubMed  CAS  Google Scholar 

  33. Prinz RA: A comparison of laparoscopic and open adrenalectomy. Arch Surg 1995;130:489–492.

    PubMed  CAS  Google Scholar 

  34. Prinz RA: Laparoscopic adrenalectomy (Editorial). J Am Coll Surg 1996;183:71–73.

    PubMed  CAS  Google Scholar 

  35. Rutherford JC, Stowasser M, Tunny TJ, Klemm SA, Gordon RD: Laparoscopic adrenalectomy. World J Surg 1996;20:758–760.

    Article  PubMed  CAS  Google Scholar 

  36. Salomon L, Rabii R, Soulié M, Mouly P, Hoznek A, Cicco A, Saint F, Alame W, Antiphon P, Chopin D, Plante P, Abbou CC: Experience with retroperitoneal laparoscopic adrenalectomy for pheochromocytoma. J Urol 2001;165:1871–1874.

    Article  PubMed  CAS  Google Scholar 

  37. Salomon L, Soulié M, Mouly P, Saint F, Cicco A, Olsson E, Hoznek A, Antiphon P, Chopin D, Plante P, Abbou CC: Experience with retroperitoneal laparoscopic adrenalectomy in 115 procedures. J Urol 2001;116:38–41.

    Google Scholar 

  38. Schäfer M, Lauper M, Krähenbühl L: Trocar and Veress needle injuries during laparoscopy. Surg Endosc 2001;15:275–280.

    Article  PubMed  Google Scholar 

  39. Soulié M, Mouly P, Caron P, Seguin P, Vazzoler N, Escourrou G, Bastide T, Pontonnier F, Plante P, Gill IS: Retroperitoneal adrenalectomy: clinical experience in 52 procedures. Urology 2000;56:921–925.

    Article  PubMed  Google Scholar 

  40. Soulié M, Salomon L, Seguin P, Mervant C, Mouly P, Hoznek A, Antiphon P, Plante P, Abbou CL: Multi-institutional study of complications in 1085 laparoscopic urologic procedures. Urology 2001;58:899–903.

    Article  PubMed  Google Scholar 

  41. Stocker ME, Patwardhan N, Maini BS: Laparoscopic adrenal surgery. Surg Endosc 1995;9:387.

    Google Scholar 

  42. Terachi T, Yoshida O, Matsuda T, Orikasa S, Chiba Y, Takahashi K, Takeda M, Higashihara E, Murai M, Baba S, Fujita K, Suzuki K, Ohshima S, Ono Y, Kumazawa J, Naito S: Complications of laparoscopic and retroperitoneoscopic adrenalectomies in 370 cases in Japan:a multi-institutional study. Biomed Pharmacother 2000;54(Suppl 1):211–214.

    Article  Google Scholar 

  43. Wachsberg RH, Cho KC, Raina S: Liver infarction following unrecognised right hepatic artery ligation at laparoscopic cholecystectomy. Abdom Imaging 1994;19:53–54.

    Article  PubMed  CAS  Google Scholar 

  44. Walz MK, Peitgen K, Walz MV, Hoermann R, Saller B, Giebler RM, Jockenhovel F, Philipp T, Broelsch CE, Eigler FW, Mann K: Posterior retroperitoneoscopic adrenalectomy: lessons learned within five years. World J Surg 2001;25:728–734.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Digestive and Endocrine Surgery, European Institute of Telesurgery (EITS) - IRCAD, Clinique Chirurgicale A, Hôpital Civil, 1, place de l’Hôpital, F-67091, Strasbourg-Cedex, France

    D. Mutter M.D. and Ph.D., E. Dutson & J. Marescaux

Authors
  1. D. Mutter M.D. and Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E. Dutson
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Marescaux
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to D. Mutter M.D. and Ph.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mutter, D., Dutson, E. & Marescaux, J. Complications of laparoscopic adrenalectomies. Eur Surg 35, 80–83 (2003). https://doi.org/10.1046/j.1682-4016.2003.03027.x

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1046/j.1682-4016.2003.03027.x

Keywords

Schlüsselwörter

Search

Navigation