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
2009 | 81 | 12 | 609-618

Article title

Laparoscopic Transperitoneal Approach to Adrenal Gland Malignancies

Content

Title variants

Languages of publication

EN

Abstracts

EN
Even though there is not enough good data, the use of laparoscopic approach in malignant disease is regarded by some controversial issue. On the other hand it seems that transperitoneal access to the adrenal gland allows for effective and safe oncological removal of adrenal gland neoplasms.The aim of the study was to present our experience with the use of transperitoneal approach in patients with adrenal gland malignancies.Material and methods. From March 2003 till May 2009 we performed 200 laparoscopic transperitoneal adrenalectomies. There were 82 hormonally silent tumors (1.5-14 cm in diameter) and 118 hormonally active (63 pheochromocytomas, 26 Conn's syndrome, 25 Cushing's syndrome and 4 virylizing tumors).Results. 197 procedures were completed laparoscopically and 3 were converted (including one for inability to assess resectablility of the tumor). 14 tumors (7%) were overtly malignant; 7 arising form the adrenal (adrenal cortex - 3, pheochromocytoma - 3, lymphoma - 1) and 7 metastatic (squamous cell cancer of the lungs - 2, clear cell carcinoma of the kidney - 2, collecting duct carcinoma of the kindey - 1, hepatocellular cancer - 1, NET lung tumor - 1). Further 19 tumors (9.5%) were assessed histologically as potentially malignant (pheochromocytomas - 16, tumors of neural origin - 2, oncocytomas - 1). One malignant tumor was unresectable other were operated radically. Progression of the cancer was observed in 3 patients with metastatic tumors.Conclusions. Laparoscopic transperitoneal adrenalectomy allows for safe and radical removal of adrenal gland malignancies. Longer follow-up and larger patients volume are needed for better evaluation of long-term results.

Year

Volume

81

Issue

12

Pages

609-618

Physical description

Dates

published
1 - 12 - 2009
online
25 - 1 - 2010

Contributors

  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
author
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • 2 Department of General Surgery, Collegium Medicum Jagiellonian University, Cracow
  • Department of Endocrinology, Collegium Medicum Jagiellonian University, Cracow
  • Department of Endocrinology, Collegium Medicum Jagiellonian University, Cracow

References

  • Aron DC: The adrenal incidentaloma: disease of modern technology and public health problem. Rev End Metab Disorders 2001; 2: 355-42.
  • Vaughan ED Jr: Diseases of the adrenal gland. Med Clin North Am 2004; 88: 443-66.
  • Thompson GB, Young WF Jr: Adrenal incidentaloma. Curr Opin Oncol 2003; 15: 84-90.
  • Mantero F, Terzolo M, Arnaldi G, et al.: A survey of adrenal incidentalomas in Italy. J Clin Endocrinol Metab 2000; 85: 637-44.[PubMed]
  • Young WF Jr: The incidentally discovered adrenal mass. NEJ 2007; 356: 601-10.
  • Nadar S, Lip GY, Beevers DG: Primary hyperaldosteronism. Ann Clin Biochem 2003; 40: 439-52.
  • Young WF Jr: Primary aldosteronism: management issues. Ann N Y Acad Sci 2002; 970: 61-76.
  • Kalady MF, McKinlay R, Olson JA, et al.: Laparoscopic adrenalectomy for pheochromocytoma. A comparison to aldosteronoma and incidentaloma. Surg Endosc 2004; 18: 621-25.
  • Kazaryan AM, Kuznetsov NS, Shulutko AM, et al.: Evaluation of endoscopic and traditional open approaches to pheochromocytoma. Surg Endosc 2004; 18: 937-41.
  • Griffing CT: AIDS. The new endocrine epidemic. J Clin Endocrinol Metabol 1994; 79: 1530-31.
  • Papierska L, Kasperlik-Zaruska A: Przypadkowo wykryte guzy (incydentaloma) nadnerczy. Kogo operować? Postępy Nauk Medycznych 2008; 2: 126-31.
  • Lal G, Duh QY: Laparoscopic adrenalectomy-indications and technique. Surg Oncol 2003; 12: 105-23.
  • McKinlay R, Mastrangelo MJ Jr, Park AE: Laparoscopic adrenalectomy: indications and technique. Curr Surg 2003; 60: 145-49.
  • Grumbach MM, Biller BM, Braunstein GD, et al.: Management of the clinically inapparent adrenal mass ("incidentaloma"). Ann Int Med 2003; 138: 424-29.
  • Sturgeon C, Shen WT, Clark OH, et al.: Risk assessment in 457 adrenal cortical carcinomas: how much does tumor size predict the likelihood of malignancy? J Am Coll Surg 2006; 202: 423-30.
  • Bertherat J, Mosnier-Pudar H, Bertagna X: Adrenal incidentalomas. Curr Opin Oncol 2001; 14: 58-63.
  • Brunt LM, Moley JF: Adrenal incidentaloma. World J Surg 2001; 25: 905-913.
  • Barnett CC Jr, Varma DG, El-Naggar AK, et al.: Limitations of size as a criterion in the evaluation of adrenal tumors. Surgery 2000; 128: 973-82.
  • Park BK, Kim CK, Kim B: Adrenal incidentaloma detected on triphasic helical CT: evaluation with modified relative percentage of enhancement washout values. Br J Radiol 2008; 81: 526-30.[WoS]
  • Allolio B, Fassnacht M: Clinical review: Adrenocortical carcinoma: clinical update. J Clin Endocrin Metab 2006; 91: 2027-37.
  • Paton BL Novitsky YW Zerey M, et al.: Outcomes of adrenal cortical carcinoma in the United States. Surgery 2006; 140: 914-20.
  • Kirschner LS: Editorial: paradigms for adrenal cancer: think globally, act locally. J Clin Endocrin Metab 2006; 91: 4250-52.
  • De Leon DD, Lange BJ, Walterhouse D, et al.: Long-term (15 years) outcome in an infant with metastatic adrenocortical carcinoma. J Clin Endocrin Metab 2002; 87: 4452-56.
  • Moinzadeh A, Gill IS: Laparoscopic radical adrenalectomy for malignancy in 31 patients. J Urol 2005; 173: 519-25.
  • Siemer S, Lehmann J, Kamradt J, et al.: Adrenal metastases in 1635 patients with renal cell carcinoma: outcome and indication for adrenalectomy. J Urol 2004; 171: 2155-59.
  • Remer EM, Obuchowski N, Ellis JD, et al.: Adrenal mass evaluation in patients with lung carcinoma: a cost-effectiveness analysis. AJR 2000; 174: 1033-39.
  • Lenert JT, Barnett CC Jr, Kudelka AP, et al.: Evaluation and surgical resection of adrenal masses in patients with a history of extra-adrenal malignancy. Surgery 2001; 130: 1060-67.
  • Margulis V, McDonald M, Tamboli P, et al.: Predictors of oncological outcome after resection of locally recurrent renal cell carcinoma. J Urol 2009; 181: 2044-51.[WoS]
  • Frilling A, Tecklenborg K, Weber F, et al.: Importance of adrenal incidentaloma in patients with a history of malignancy. Surgery 2004; 136: 1289-96.
  • Assalia A, Gagner M: Laparoscopic adrenalectomy. Br J Surg 2004; 91: 1259-74.
  • Shichman SJ, Herndon CD, et al.: Lateral transperitoneal laparoscopic adrenalectomy. World J Urol 1999; 17: 48-53.
  • Baba S, Iwamura M: Retroperitoneal laparoscopic adrenalectomy. Biomed Pharmacother 2002; 56: 113-19.
  • Guazzoni G, Cestari A, Montorsi F, et al.: Laparoscopic treatment of adrenal diseases: 10 years on. BJU Int 2004; 93: 221-27.
  • Budzyński A: Wycięcie nadnercza techniką laparoskopową. Medycyna Praktyczna 2006; 06: 95-112.
  • Saunders BD, Doherty GM: Laparoscopic adrenalectomy for malignant disease. Lancet Oncol 2004; 5: 718-26.
  • Sturgeon C, Kebebew E: Laparoscopic adrenalectomy for malignancy. Surg Clin North Am 2004; 84: 755-74.
  • Walz MK, Peitgen K, Walz MV, et al.: Posterior retroperitoneoscopic adrenalectomy: lessons learned within five years. World J Surg 2001; 25: 728-34.
  • Del Pizzo JJ: Transabdominal laparoscopic adrenalectomy. Curr Urol Rep 2003; 4: 81-86.
  • Budzyński A, Rembiasz K, Bobrzyński A, i wsp.: Laparoskopowa adrenalektomia z dostępu przezotrzewnowego. Videochirurgia 2005; 10: 53-57.
  • Budzyński A, Huszno B, Rembiasz K, i wsp.: Przezotrzewnowa laparoskopowa adrenalektomia w leczeniu hormonalnie czynnych i niemych guzów nadnerczy. Pol Przegl Chir 2005, 77: 1161-71.

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-009-0098-6
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.