Vilorio HPL, Silvera GR, Díaz CJM, Fernández SL, Pérez MG, Martínez CO

Language: Spanish
References: 0
Page: 40-48
PDF size: 107.24 Kb.

ABSTRACT

Introduction: As far as 1997, the performing of laparoscopic adrenalectomy started in our center.
Objective: To analyze the results of laparoscopic adrenalectomy since its implementation in the general surgery service of Hermanos Ameijeiras Clinical Surgical Hospital.
Methods: A descriptive study was carried out with the results obtained from 160 patients who underwent laparoscopic adrenalectomy, in the period from November 1997 to September 2017, in the general surgery service of Hermanos Ameijeiras University Clinical Surgical Hospital. The laparoscopic technique with intraperitoneal lateral approach was used in the majority of cases and the supine approach was used in two cases for bilateral adrenalectomy.
Results: 162 laparoscopic adrenalectomies were performed in 160 patients, since two patients underwent bilateral adrenalectomy at one time. The average age was 44.8 years. Surgical indication cases were incidentalomas, in 68 patients (42.5 %), Cushing's syndrome in 27 (16.8 %), pheochromocytomas in 26 (16.25 %), Cushing's disease with neurosurgical treatment failure in 12 (7.5 %), myelolipomas in 7 (4.37 %), adrenal tumor in 6 (3.75 %), metastatic tumor in 5 (3.1 %), adrenal cysts in 4 (2.5 %), primary hyperaldosteronism in 3 (1.87 %), adrenal virilizing tumor in 1 patient, and 1 patient with an ectopic ACTH secretion syndrome that caused a complicated Cushing's syndrome. Lesions on the left side were predominant in 86 patients, 72 on the right side and two bilateral. Two patients (1.25 %) were converted to conventional surgery. The average surgical time was 82 minutes. The average postoperative stay was 2.5 days.
Conclusions: Laparoscopic adrenalectomy is a reproducible and safe technique with the advantages inherent to laparoscopic surgery.