01.05.2016 | ICS congress 2015 | Sonderheft 2/2016
Laparoscopic adrenalectomy: institutional Czech experience after almost 300 operations
- Zeitschrift:
- European Surgery > Sonderheft 2/2016
- Autoren:
- D. Michalský, E. Konečná, D. Hoskovec, K. Kimleová, T. Zelinka, R. Holaj, B. Štrauch, Jr J. Widimský
Wichtige Hinweise
The publishing was sponsored by the Ministry of Health of the Czech Republic.
Summary
Introduction
Laparoscopic adrenalectomy is nowadays the method of choice for surgical treatment of adrenal gland pathologies.
Methods
A retrospective analysis of the results of adrenalectomy procedures performed at the First Clinic of Surgery during the period from 2006 to 2015.
Results
Of the total number of 285 adrenalectomy procedures, 271 (95.1 %) were performed laparoscopically. Laparoscopic surgery was used for 2 bilateral adrenalectomies, 17 partial adrenalectomies and 12 laparoscopic removals of benign adrenal tumours greater than 10 cm. Malignant adrenal tumour was treated with open surgery 7 times, and metastasis of other cancers to the adrenal gland was removed laparoscopically 4 times.
Conclusion
Laparoscopy can be used for complete or partial adrenalectomy. Neither tumour size of more than 10 cm nor metastatic involvement of the adrenal gland is regarded as contraindications to laparoscopy.