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Laparoscopic Adrenalectomy

  • Stuart S. Kesler
  • Grant I.S. Disick
  • Ravi Munver
Part of the Current Clinical Urology book series (CCU)

Abstract

The surgical approach to the adrenal gland was historically described via an open technique. Recently, the laparoscopic approach has become the preferred method for removal of the adrenal gland when affected by a variety of pathologic disorders. Since laparoscopic adrenalectomy was described by Gagner et al. (1), numerous reports and comparative studies have demonstrated laparoscopic adrenalectomy to be superior to open adrenalectomy with regards to blood loss, cosmesis, analgesic requirements, hospital stay, and recovery time (1–4). Laparoscopic adrenalectomy is efficacious and safe and has become the standard for the majority of surgical adrenal disorders.

Key Words

laparoscopy adrenal adrenalectomy laparoscopic adrenalectomy 

References

  1. 1.
    Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 1992; 327: 1033.CrossRefPubMedGoogle Scholar
  2. 2.
    Prinze R. A comparison of laparoscopic and open adrenalectomies. Arch Surg 1995; 130: 489–492.Google Scholar
  3. 3.
    Smith C, Weber C, Amerson J. Laparoscopic adrenalectomy: a new gold standard. World J Surg 1999; 23: 389–396.CrossRefPubMedGoogle Scholar
  4. 4.
    Gill I. The case for laparoscopic adrenalectomy. J Urol 2001; 166: 429–436.CrossRefPubMedGoogle Scholar
  5. 5.
    Henry J, Sebag F, Iacobone M, et al. Results of laparoscopic adrenalectomy for large and potentially malignant tumors. World J Surg 2002; 26: 1043–1047.CrossRefPubMedGoogle Scholar
  6. 6.
    Moinzadeh A, Gill IS. Laparoscopic radical adrenalectomy for malignancy in 31 patients. J Urol 2005; 173: 519–525.CrossRefPubMedGoogle Scholar
  7. 7.
    MacGillivray D, Whalen G, Malchoff C, et al. Laparoscopic resection of large adrenal tumors. Ann Surg Oncol 2002; 9: 480–485.CrossRefPubMedGoogle Scholar
  8. 8.
    Kebebew E, Siperstein A, Clark O, et al. Results of laparoscopic adrenalectomy for suspected and unsuspected adrenal neoplasms. Arch Surg 2002; 137: 948–953.CrossRefPubMedGoogle Scholar
  9. 9.
    Gonzalez R, Shapiro S, Sarlis N, et al. Laparoscopic resection of adrenal cortical carcinoma: a cautionary note. Surgery 2005; 138: 1078–1085.CrossRefPubMedGoogle Scholar
  10. 10.
    NIH state-of-the-science statement on management of clinically inapparent adrenal mass (“incidentaloma”). NIH Consen State Sci Statements 2002; 19: 1–23.Google Scholar
  11. 11.
    Munver R, Fromer D, Watson R, Sawczuk I. Evaluation of the incidentally discovered adrenal mass. Curr Urol Rep 2004, 5(1):73–77.CrossRefPubMedGoogle Scholar
  12. 12.
    Miskulin J, Shulkin B, Doherty G, et al. Is preoperative iodine 123 MIBG scintigraphy routinely necessary before initial adrenalectomy for pheochromocytoma? Surgery 2003; 134: 918–922.CrossRefPubMedGoogle Scholar
  13. 13.
    Zacharias M, Haese A, Jurczok A, et al. Transperitoneal laparoscopic adrenalectomy: outline of the preoperative management, surgical approach, and outcome. Eur Urol 2006; 49: 448–459.CrossRefPubMedGoogle Scholar
  14. 14.
    Munver R, Lombardo S, Ilbeigi P. et al. Advances in the minimally invasive treatment of benign and malignant adrenal lesions: laparoscopic adrenalectomy using a novel vessel-sealing system – a combined experience (Abstract). J Urol 2006, 175(4); 347.Google Scholar
  15. 15.
    Assalia A, Gagner M. Laparoscopic adrenalectomy. Br J Surg 2004; 91: 1259–1274.CrossRefPubMedGoogle Scholar
  16. 16.
    Bonjer H, Sorm V, Berends F, et al. Endoscopic retroperitoneal adrenalectomy: lessons learned from 111 consecutive cases. Ann Surg 2000, 232 (6): 796–803.CrossRefPubMedGoogle Scholar
  17. 17.
    Miccoli P, Raffaelli M, Berti P, et al. Adrenal surgery before and after the introduction of laparoscopic adrenalectomy. Br J Surg 2002; 89; 779–782.CrossRefPubMedGoogle Scholar
  18. 18.
    Porpiglia F, Destefanis P, Fiori C, et al. Does adrenal mass size really affect safety and effectiveness of laparoscopic adrenalectomy? Urology 2002; 60: 801–805.CrossRefPubMedGoogle Scholar
  19. 19.
    Del Pizzo J, Shichman S, Sosa E. Laparoscopic adrenalectomy: the New York-Presbyterian Hospital experience. J Endourol 2002; 16, 591–597.CrossRefPubMedGoogle Scholar
  20. 20.
    Chiu A. Laparoscopic retroperitoneal adrenalectomy: clinical experience with 120 consecutive cases. Asian Journal of Surgery 2003; 26: 139–144.CrossRefPubMedGoogle Scholar
  21. 21.
    O’Boyle C, Kapadia C, Sedman P, et al. Laparoscopic transperitoneal adrenalectomy. Surg Endosc 2003; 17: 1905–1909.CrossRefPubMedGoogle Scholar
  22. 22.
    Zeh H, Udelsman R. One hundred laparoscopic adrenalectomies: a single surgeon’s experience. Ann Surg Oncol 2003; 10(9); 1012–1017.CrossRefPubMedGoogle Scholar
  23. 23.
    Prager G, Heinz-Peer G, Passler C, et al. Applicability of laparoscopic adrenalectomy in a prospective study in 150 consecutive patients. Arch Surg 2004; 139: 46–49.CrossRefPubMedGoogle Scholar
  24. 24.
    Poulose B, Holzman M, Lao O, et al. Laparoscopic adrenalectomy: 100 resections with clinical long term follow-up. Surg Endosc 2005; 19: 379–385.CrossRefPubMedGoogle Scholar
  25. 25.
    Naya Y, Suzuki H, Komiya A, et al. Laparoscopic adrenalectomy in patients with large adrenal tumors. Int J Urol 2005; 12: 134–139.CrossRefPubMedGoogle Scholar
  26. 26.
    Ramacciato G, Paolo M, Pietromaria A, et al. Ten years of laparoscopic adrenalectomy: lesson learned from 104 procedures. Am Surg 2005: 71: 321–325.PubMedGoogle Scholar
  27. 27.
    Lifante J, Cenedese A, Fernandez Vila J, et al. Impact of laparoscopy on the management of adrenal diseases: a retrospective study of 220 patients. Ann Chirug 2005; 130: 547–552.CrossRefGoogle Scholar
  28. 28.
    Castillo O, Cortes O, Kerkebe M, et al. Laparoscopic surgery in the treatment of adrenal pathology: experience with 200 cases. Actas Urol Esp 2006; 30(9): 926–932.CrossRefPubMedGoogle Scholar
  29. 29.
    Walz M, Alesina P, Wenger F, et al. Posterior retroperitoneoscopic adrenalectomy – results of 560 procedures in 520 patients. Surgery 2006; 140: 943–950.CrossRefPubMedGoogle Scholar
  30. 30.
    Nocca D, Aggarwal R, Mathieu A, et al. Laparoscopic surgery and corticoadenomas. Surg Endosc 2007; 21: 1373–1376.CrossRefPubMedGoogle Scholar
  31. 31.
    Gumbs A, Gagner M. Laparoscopic adrenalectomy. Best Practice Res Clin Endocrinol Metab 2006; 20(3); 483–499.CrossRefGoogle Scholar

Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Stuart S. Kesler
    • 1
  • Grant I.S. Disick
    • 1
  • Ravi Munver
    • 1
  1. 1.Department of UrologyHackensack University Medical CenterHackensack

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