Resumen

CASTILLO C, OCTAVIO et al. Lapararoscopic adrenalectomy: lessons learned from 110 consecutive procedures. Rev Chil Cir [online]. 2006, vol.58, n.3, pp. 175-180. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262006000300003.

Background: Laparoscopic adrenalectomy has clear advantages over the open procedure. Aim: To report a series of 110 laparoscopic adrenalectomies performed by one surgeon. The operative indications, surgical technique, results and complications are presented. Material and methods: Between June 1993 and June 2003, 110 laparoscopic adrenalectomies were performed in 102 patients (62 females), aged 8 to 78 years. Results: The operative indications were incidentaloma in 24%, metastatic adrenal carcinoma in 23%, hyperaldosteronism in 17%, pheochromocytoma in 16%, Cushing syndrome in 7%, adrenal cyst in 6%, myelolipoma in 4% and teratoma in 1.8%. Mean operative time was 94.2 minutes (range 25-240). Mean blood loss was 116.9 mL (range 0-2500). Mean hospital stay was 2.5 days (range 1-10). Conversion rate to open surgery was 0.9%. There were 3 complications (2.7%) and mortality rate was 0.9%. Mean adrenal tumor size was 4.2 cm (range 1.5-14). The pathological results showed an adenoma in 27%, nodular hyperplasia in 18%, metastatic carcinoma in 17% and pheochromocytoma in 14%. Conclusions: Laparoscopic adrenalectomy shares the operative results of open adrenalectomy and adds the advantages of a short hospital stay, less complications, shorter convalescence period and better cosmetic results

Palabras llave : Laparoscopic adrenalectomy; adrenal tumors; incidentaloma.