Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl

PL EN


Preferences help
enabled [disable] Abstract
Number of results
2010 | 82 | 1 | 38-46

Article title

Qualification and Operative Difficulties of Laparoscopic Adrenalectomy

Content

Title variants

Languages of publication

EN

Abstracts

EN
Laparoscopic adrenalectomy (LA) became referential in the treatment of adrenal pathology. However in the majority of tumors biochemical markers and imaging examinations aren't reliable to evaluate existences of the malignant process before the operation. Therefore complete resection of the adrenal gland, without damaging the capsule of the tumor remains as a significant problem.The aim of the study was to introduce the problem involving the qualification of the patients for laparoscopic adrenalectomy, and concerning the post-operative histopathologic evaluation, as well as technical aspects of the conducted laparoscopy.Material and methods. These problems are being discussed based on our experience in laparoscopic adrenalectomy. In the period 29.10.1997 - 31.01.2009 472 laparoscopic adrenalectromies were carried out via lateral transperitoneal approach. Among 457 operated patients in 13 (2.8%) conversion was necessary.Results. The malignant lesions were in 22 (4.8%) patients. 11 (2.4%) had metastases from other origin, 1 (0.2%) had Cushing's syndrome and 3 (0.6%) had pheochromocytomas. In the incidentaloma group 6 (13.1%) primary ardenocortical carcinoma and 1 (0.2%) angiosarcoma were identified.Conclusions. Laparoscopic adrenalectomy via lateral transperitoneal approach is a sufficient and safe surgical treatment of adrenal pathology.

Year

Volume

82

Issue

1

Pages

38-46

Physical description

Dates

published
1 - 1 - 2010
online
10 - 2 - 2010

Contributors

author
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University
  • Department of Pathological Anatomy, Warsaw Medical University
  • Department of Family Medicine, Warsaw Medical University
author
  • Department of General, Vascular and Transplant Surgery, Warsaw Medical University

References

  • Smith CD, Weber CJ, Amwerson JR: Laparoscopic adrenalectomy: new gold standard. World J Surg 1999; 23: 389-96.[PubMed][Crossref]
  • Ogilvie JB, Duh QY: New approaches to the minimally invasive treatment of adrenal lesions. Cancer J 2005; 11: 64-72.[Crossref][PubMed]
  • Rubinstein M, Gill IS, Aron M: Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic adrenalectomy. J Urol 2005; 174: 442-45.
  • Moinzadeh T, Gill IS: Laparoscopic radical adrenalectomy for malignancy in 31 patients. J Urol 2005; 173: 519-25.
  • Assalia A, Gagner M: Laparoscopic adrenalectomy. Br J Surg 2004; 91: 1259-74.
  • Otto M, Dzwonkowski J: Powikłania zakrzepowozatorowe w chirurgii małoinwazyjnej nadnerczy - profilaktyka przeciwzakrzepowa. Wideochirurgia i inne techniki małoinwazyjne 2007; 2: 43-47.
  • Tsurn N, Suzuki K, Ushiyama T et al.: Laparoskopic adrenalectomy for large adrenal tumors. J Endourol 2005; 19: 537-40.[Crossref]
  • Lombardi CP, Raffaelli M, De Crea C et al.: Role of laparoscopy in the management of adrenal malignancies. J Surg Oncol 2006; 94: 128-31.
  • Gumbs AA, Gagner M: Laparoscopic adrenalectomy. Best Pract Res Clin Endocrinol Metab 2006; 20: 483-99.[PubMed][Crossref]
  • Parnaby CN, Chong PS, Chisholm L et al.: The role of laparoscopic adrenalectomy for adrenal tumors of 6 cm or greater. Surg Endosc 2008; 22: 617-21.
  • Kebebew E, Siperstein AE, Clark OH et al.: Results of laparoscopic adrenalectomy for suspected and unsuspected malignant adrenal neoplasms. Arch Surg 2002; 137: 948-53.
  • Caoili EM, Korobkin V, Francis R: Adrenal massess: characterization with combined unenhanced and delayed enhanced CT. Radiology 2002; 222: 629-33.
  • Kouriefs C, Mokbel K, Choy C: Is MRI more accurate than CT in estimating the real size of adrenal tumors? Eur J Surg Oncol 2001; 27: 487-90.[Crossref]
  • Linos DA, Stylopoulos N: How accurate is computed tomography in predicting the real size of adrenal tumors? A retrospective study. Arch Surg 1997; 132: 740-43.
  • Lau H, Lo CY, Lam KY: Surgical implications of underestimation of adrenal tumour size by computed tomography. Br J Surg 1999; 86: 385-87.
  • Otto M, Szostek G, Nazarewski S et al.: Laparoscopic operative technique for adrenal tumors. J of the Society of Laparoendoscop Surg (JSLS) 2000; 4: 125-29.
  • Kasperlik-Załuska AA, Otto M, Cichocki A et al.: Incidentally discovered adrenal tumors: a lesson from observation of 1444 patients. Hoem Metab Res 2008; 40: 338-41.[Crossref]
  • Aubert S, Wacrenier A, Leroy X et al.: Weiss System Revisited. A clinicopathologic and immunohistochemical study. Am J Surg Pathol 2002; 26: 1612-19.[PubMed][Crossref]
  • Slooten VH, Schaberg A, Smenk D et al.: Morphologic characteristic of benign and malignant adrenocortical tumors. Cancer 1985; 55: 766-73.
  • Kajor M, Ziaja J, Król R et al.: Analiza morfologii guzów nadnerczy pod względem ich struktury i potencjalnej złośliwości. Pol J Endocrinol 2006; 2: 137-42.
  • Sturgeon C, Kebebew E: Laparoscopic adrenalectomy for malignancy. Surg Clin N Am 2004; 84: 755-74.
  • Barnett CC, Varma DG, El-Naggar AK: Limitation of size as a criterion in the evaluation of adrenal tumors. Surgery 2000; 128: 973-82.
  • Fletcher ChDM, Unni KK, Mertens FW: World Health Organization Classification of Tumours. Pathology and Genetics. Tumours of the soft tissue and bone. IARC Press, Lyon, 2000.
  • Weiss SW, Goldblum JR: Enzinger and Weiss's soft tissue tumors. Mosby, St Louis 2001.
  • Kumar V, Abbas AK, Fausto N et al.: Robbins Basic Pathology. Saunders Elsevier, Philadelphia, 2007.
  • Pasqual E, Bertolissi F, Grimaldi F et al.: Adrenal angiosarcoma: report of a case. Surg Today 2002; 32: 563-65.[PubMed][Crossref]
  • Galmiche L, Morel HP, Moreau A et al.: Primary adrenal angiosarcoma. Ann Pathol 2004; 24: 371-73.[Crossref][PubMed]
  • Kruger S, Kujath P, Johannisson R et al.: Primary epithelioid angiosarcoma of the adrenal gland: case report and review of the literature. Tumori 2001; 87: 262-65.[PubMed]
  • Kasperlik-Zauska AA, Otto M, Cichocki A et al.: 1161 patients with adrenal incidentalomas: indications for surgery. Langenbecks Arch Surg 2008; 393: 121-26.[WoS]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-010-0007-z
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.