Surrenectomia laparoscopica: Nostra esperienza

Abstract

Laparoscopy has been described as an alternative approach for performing adrenalectomy. From January ‘96 to April ‘97, 14 laparoscopie adrenalectomies were performed in our Division. Patient age ranged from 33 to 64 years. The clinical diagnosis included 5 Conn's syndrome, 3 pheochromocytoma, 3 Cushing's syndrome, 1 Cushing's disease and 3 incidentalomas. Average operating time was 70’ and 90’ for right and left adrenalectomy respectively. The average estimated blood loss was 70 ml. All the patients resumed oral intake antalgic therapy with Ketorolac in the first 12 post-operative hours. The patients resumed oral intake within 1 day. Two patients received 500 ml of autologous blood in the post-operative period. The average hospital stay was 3.5 days. These results suggest that laparoscopie adrenalectomy is a minimally invasive alternative to traditional open adrenalectomy.