Revista chilena de cirugía
versión On-line ISSN 0718-4026
HOUSARI M, GADA et al. Laparoscopic adrenalectomy in benign disease. Rev Chil Cir [online]. 2012, vol.64, n.4, pp. 341-345. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262012000400003.
Introduction: Nowadays the laparoscopic approach is the procedure of choice in adrenal diseases, except malignant adrenal tumors. Methods: A descriptive and retrospective study of the first 55 cases of laparoscopic adrenalectomy performed in our hospital between 1998 and 2011, we reviewed the short and long term results. Results: We had one case of conversion to open surgery in a patient with accidental section of the right renal vein. One case of reoperation due to hepatic injury. One case of postoperative mortality in a 71 year old woman with high anesthetic risk operated for Cushing's syndrome. Other complications were a case ofhydropneumothorax and three cases of abdominal wall hematoma in site oflaparoscopic trocar. In the follow up at 45 months all the patients remain asymptomatic, except one with ectopic Cushing's syndrome due to bronchial carcinoid. Conclusions: Laparoscopic adrenalectomy has good results and is an easily reproducible procedure, but must be performed by expert laparoscopic surgeons with a good knowledge of adrenal anatomy and experience in open surgery which allow them to solve the complications that may arise during the laparoscopic procedure.
Palabras clave : Laparoscopic adrenalectomy; adrenal tumors; laparoscopic surgery.