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World Journal of Surgery

Published in:

01-05-2006

Isolated Adrenal Metastasis: The Role of Laparoscopic Surgery

Authors: F. Sebag, F. Calzolari, J. Harding, M. Sierra, F. F. Palazzo, J. F. Henry

Published in: World Journal of Surgery | Issue 5/2006

Abstract

Background

Solitary adrenal metastases (AM) are rare and their management unclear. Surgery, especially laparoscopic adrenalectomy (LA), is debatable in the management of AM. This retrospective study analysed the feasibility and the results of LA for AM.

Methods

From 1997 to 2003, 16 patients underwent LA for isolated AM. Completeness of resection, postoperative morbidity and follow-up (FU) were recorded.

Results

There were 10 synchronous AM and 6 metachronous AM. Primary tumours included lung cancer (n = 9), melanoma (n = 3), mesothelioma (n = 1), rhabdomyosarcoma (n = 1), colonic adenocarcinoma (n = 1) and renal cell carcinoma (n = 1). Five patients required conversion to an open procedure. Minor complications occurred in three patients. Pathology confirmed the diagnosis of AM. Mean tumour size was 60 (range: 15–110) mm. Nine patients (56%) had complete resections, 3 had positive margins and 4 had incomplete macroscopic resections. Mean observed FU was 25 (range: 1–68) months. Median overall calculated survival was 23 months. Overall 5-year survival was 33% (Kaplan–Meyer). At the end of study, 8 patients were alive with a mean FU of 35 months (3 without evidence of disease). No patient presented with local relapse or port-site metastasis. We did not identify any predictive factors. All patients with incomplete macroscopic resection died within 24 months.

Conclusions

LA can achieve an acceptable 5-year survival, comparable to open surgery but with better postoperative comfort. It should be considered for AM with the intention of complete resection. It offers the patient the possibility of tumour resection with the benefit of a laparoscopic approach.

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Title: Isolated Adrenal Metastasis: The Role of Laparoscopic Surgery
Authors: F. Sebag
F. Calzolari
J. Harding
M. Sierra
F. F. Palazzo
J. F. Henry
Publication date: 01-05-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 5/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-005-0342-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Isolated Adrenal Metastasis: The Role of Laparoscopic Surgery

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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