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Laparoscopic adrenalectomy: A single center experience.

Kumar S, Bera MK, Vijay MK, Dutt A, Tiwari P, Kundu AK - J Minim Access Surg (2010)

Bottom Line: Serum corticosteroid levels were conducted in all, and urinary metanephrines, normetanephrines and VMA levels were performed in suspected pheochromocytoma.The patients were in the age range of 18-57 years, eleven males and nine females, seven right, eleven left, two bilateral.The mean operative time was 150 minutes (120-180), mean hospital stay four days (3-5), mean intraoperative blood loss 150 ml and mean post-operative analgesic need was for 36 (24-72) hours.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Institute of Post-Graduate Medical Education and Research (IPGMER) and Seth Sukhlal Karnani Memorial Hospital (SSKM), Kolkata - 700 020, India.

ABSTRACT

Aims: To evaluate the efficacy and safety of laparoscopic adrenalectomy in benign adrenal disorders.

Methods and material: Since July 2007, twenty patients have undergone laparoscopic adrenalectomy for various benign adrenal disorders at our institution. Every patient underwent contrast enhanced CT-abdomen. Serum corticosteroid levels were conducted in all, and urinary metanephrines, normetanephrines and VMA levels were performed in suspected pheochromocytoma. All the patients underwent laparoscopic adrenalectomy via the transperitoneal approach.

Results: The patients were in the age range of 18-57 years, eleven males and nine females, seven right, eleven left, two bilateral. The mean operative time was 150 minutes (120-180), mean hospital stay four days (3-5), mean intraoperative blood loss 150 ml and mean post-operative analgesic need was for 36 (24-72) hours. One out of twenty-two laparoscopic operations had to be converted into open adrenalectomy due to intra-operative complications.

Conclusions: Laparoscopic adrenalectomy is a safe, effective and useful procedure without any major post-operative complication and is the gold standard for all benign adrenal disorders.

No MeSH data available.


Related in: MedlinePlus

CECT-Right adrenal mass with negative soft tissue density with calcification (myelolipoma).
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Figure 0004: CECT-Right adrenal mass with negative soft tissue density with calcification (myelolipoma).

Mentions: Adenomyelolipoma are usually well-circumscribed with (-100 to -200 HFU) soft tissue density lesion and may show calcification, which may be diffuse or spotty. In our study, only one patient showed calcification [Figure 3].


Laparoscopic adrenalectomy: A single center experience.

Kumar S, Bera MK, Vijay MK, Dutt A, Tiwari P, Kundu AK - J Minim Access Surg (2010)

CECT-Right adrenal mass with negative soft tissue density with calcification (myelolipoma).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992657&req=5

Figure 0004: CECT-Right adrenal mass with negative soft tissue density with calcification (myelolipoma).
Mentions: Adenomyelolipoma are usually well-circumscribed with (-100 to -200 HFU) soft tissue density lesion and may show calcification, which may be diffuse or spotty. In our study, only one patient showed calcification [Figure 3].

Bottom Line: Serum corticosteroid levels were conducted in all, and urinary metanephrines, normetanephrines and VMA levels were performed in suspected pheochromocytoma.The patients were in the age range of 18-57 years, eleven males and nine females, seven right, eleven left, two bilateral.The mean operative time was 150 minutes (120-180), mean hospital stay four days (3-5), mean intraoperative blood loss 150 ml and mean post-operative analgesic need was for 36 (24-72) hours.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Institute of Post-Graduate Medical Education and Research (IPGMER) and Seth Sukhlal Karnani Memorial Hospital (SSKM), Kolkata - 700 020, India.

ABSTRACT

Aims: To evaluate the efficacy and safety of laparoscopic adrenalectomy in benign adrenal disorders.

Methods and material: Since July 2007, twenty patients have undergone laparoscopic adrenalectomy for various benign adrenal disorders at our institution. Every patient underwent contrast enhanced CT-abdomen. Serum corticosteroid levels were conducted in all, and urinary metanephrines, normetanephrines and VMA levels were performed in suspected pheochromocytoma. All the patients underwent laparoscopic adrenalectomy via the transperitoneal approach.

Results: The patients were in the age range of 18-57 years, eleven males and nine females, seven right, eleven left, two bilateral. The mean operative time was 150 minutes (120-180), mean hospital stay four days (3-5), mean intraoperative blood loss 150 ml and mean post-operative analgesic need was for 36 (24-72) hours. One out of twenty-two laparoscopic operations had to be converted into open adrenalectomy due to intra-operative complications.

Conclusions: Laparoscopic adrenalectomy is a safe, effective and useful procedure without any major post-operative complication and is the gold standard for all benign adrenal disorders.

No MeSH data available.


Related in: MedlinePlus