Top

Surgical Endoscopy

Published in:

01-06-2005 | Original article

Laparoscopic adrenalectomy for malignant neoplasm: Our experience in 15 cases

Authors: F. Corcione, L. Miranda, E. Marzano, P. Capasso, D. Cuccurullo, A. Settembre, F. Pirozzi

Published in: Surgical Endoscopy | Issue 6/2005

Abstract

Background

We report our experience with laparoscopic adrenalectomy (LA) for malignant pathologies that in some cases required a multiorgan resection.

Methods

In this study, we retrospectively reviewed a group of 15 patients (10 men, and five women) who underwent an operation for primitive or metastatic adrenal malignant tumors.

Results

The sizes of the lesions ranged from 3.5 to 8.5 cm (average 3.6). We performed 11 adrenalectomies (four right and seven left), two left adrenalectomies with distal spleno-pancreatectomy, one right adrenalectomy with nephrectomy, and one laparoscopic exploration that showed a peritoneal spreading. Six patients, with a follow-up ranging from 3 to 24 months (mean 13.6 months), are disease free; the others developed metastatic repetitions or local recurrences.

Conclusions

LA could be performed always respecting the oncological principles of radical excisions. This approach in our patients has been associated with low morbidity, low intraoperative blood loss, short hospital stay, and fast functional recovery.

Ayabe, H, Tsuji, H, Hara, S, Tagawa, Y, Kawahara, K, Tomita, M 1995Surgical management of adrenal metastases from bronchogenic carcinomaJ Surg Oncol58149154PubMed

Barreca, M, Presenti, L, Renzi, C, Cavallaro, G, Borrelli, A, Stipa, F, Valeri, A 2003Expectations and outcomes when moving from open to laparoscopic adrenalectomy: multivariate analysisWorld J Surg27223228PubMed

Carey, RW, Kunz, VS 1998Leukocytosis due to adrenal metastases from malignant melanoma: reversal after bilateral adrenalectomy with long-term survivalAm J Hematol27228229

Carlini, M, Lonardo, MT, Boschetto, A, Carboni, F, Appetecchia, M, Tropea, F, Santoro, E 2003Adrenal glands metastases from malignant melanoma. Laparoscopic bilateral adrenalectomyJ Exp Clin Cancer Res22141145PubMed

Gagner, M, Lacroix, A, Bolte, E 1992Laparoscopic adrenalectomy in Cushing syndrome and pheochromocytomaN Engl J Med1;3271033

Graham, DJ, McHenry, CR 1998The adrenal incidentaloma: guidelines for evaluation and recommendations for managementSurg Oncol Clin North Am7717720

Hawn, MT, Cook, D, Deveney, C, Sheppard, BC 2002Quality of life after laparoscopic bilateral adrenalectomy for Cushing’s diseaseSurgery13210641069CrossRefPubMed

Henry, JF, Sebay, F, Iacobone, M, Mirallia, E 2000Results of laparoscopic adrenalectomy for large and potentially malignant tumorsWorld J Surg2610431047CrossRef

Henry, JF, Sebag, F, Iacobone, M, Hubbard, J, Maweja, S 2002Lessons learned from 274 laparoscopic adrenalectomiesAnn Chir127512519CrossRefPubMed

10.

Hobart, MG, Gill, IS, Schweizer, D, Sung, GT, Bravo, EL 2000Laparoscopic adrenalectomy for large-volume (> or = 5 cm) adrenal massesJ Endocrinol14149154

11.

Imai, T, Kikumori, T, Ohiwa, M, Mase, T, Funahashi, H 1999A case controlled study of laparoscopic compared with open lateral adrenalectomyAm J Surg1785054CrossRefPubMed

12.

Luketich, JD, Burt, ME 1996Does resection of adrenal metastases from non-small cell lung cancer improve survival?Ann Thorac Surg6216141616

13.

MacGillivray, DC, Whalen, GF, Malchoff, CD, Offenheim, DS, Scich, SJ 2002Laparoscopic resection of large adrenal tumorsAnn Surg Oncol9480485CrossRefPubMed

14.

Miccoli, P, Raffaelli, M, Berti, P, Materazzi, G, Massi, M, Bernini, G 2002Adrenal surgery before and after the introduction of laparoscopic adrenalectomyBr J Surg89779782

15.

Novitsky, YW, Czerniach, DR, Kercher, KW, Perugini, RA, Kelly, JJ, Litwin, DE 2003Feasibility of laparoscopic adrenalectomy for large adrenal massesSurg Laparosc Endosc Percutan Tech13106110CrossRefPubMed

16.

Smith, CD, Weber, CJ, Amerson, JR 1999Laparoscopic adrenalectomy: new gold standardWorld J Surg23389396PubMed

17.

Sturgeon, C, Kebebew, E 2004Laparoscopic adrenalectomy for malignancySurg Clin North Am84755774CrossRefPubMed

18.

Staren, ED, Prinz, RA 1996Adrenalectomy in the era of laparoscopySurgery120706709PubMed

19.

Thompson, GB, Grant, CS, Heerden, JA, Schlintert, RT, Young, WF, Farley, DR 1997Laparoscopic versus open posterior adrenalectomy: a case control study of 100 patientsSurgery12211321136CrossRefPubMed

Title: Laparoscopic adrenalectomy for malignant neoplasm: Our experience in 15 cases
Authors: F. Corcione
L. Miranda
E. Marzano
P. Capasso
D. Cuccurullo
A. Settembre
F. Pirozzi
Publication date: 01-06-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 6/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-9161-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic adrenalectomy for malignant neoplasm: Our experience in 15 cases

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 6/2005

Costs and quality of life after endoscopic repair of inguinal hernia vs open tension-free repair: a review

The keys to the new laparoscopic world

Intraabdominal adhesion formation of polypropylene mesh Influence of coverage of omentum and polyglactin

Laparoscopic revisional bariatric surgery: myths and facts

Outcome of laparoscopic redo fundoplication

Low-grade B-cell MALT lymphoma of the stomach: a clinical challenge