Qualification and Operative Difficulties of Laparoscopic Adrenalectomy

• Autorzy: Maciej Otto , Jacek Dzwonkowski , Maciej Jędrasik , Tomasz Ciąćka , Barbara Górnicka , Katarzyna Życińska , Jacek Szmidt
• Języki publikacji: EN

Abstrakty

EN

Laparoscopic adrenalectomy (LA) became referential in the treatment of adrenal pathology. However in the majority of tumors biochemical markers and imaging examinations aren't reliable to evaluate existences of the malignant process before the operation. Therefore complete resection of the adrenal gland, without damaging the capsule of the tumor remains as a significant problem.The aim of the study was to introduce the problem involving the qualification of the patients for laparoscopic adrenalectomy, and concerning the post-operative histopathologic evaluation, as well as technical aspects of the conducted laparoscopy.Material and methods. These problems are being discussed based on our experience in laparoscopic adrenalectomy. In the period 29.10.1997 - 31.01.2009 472 laparoscopic adrenalectromies were carried out via lateral transperitoneal approach. Among 457 operated patients in 13 (2.8%) conversion was necessary.Results. The malignant lesions were in 22 (4.8%) patients. 11 (2.4%) had metastases from other origin, 1 (0.2%) had Cushing's syndrome and 3 (0.6%) had pheochromocytomas. In the incidentaloma group 6 (13.1%) primary ardenocortical carcinoma and 1 (0.2%) angiosarcoma were identified.Conclusions. Laparoscopic adrenalectomy via lateral transperitoneal approach is a sufficient and safe surgical treatment of adrenal pathology.

Słowa kluczowe

EN

adrenal tumors; adrenal carcinoma; laparoscopic adrenalectomy; incidentaloma

• Wydawca: Index Copernicus International
• Czasopismo: Polish Journal of Surgery
• Rocznik: 2010
• Tom: 82
• Numer: 1
• Strony: 38-46

Daty

wydano

2010-01-01

online

2010-02-10

Twórcy

autor

Maciej Otto

• Department of General, Vascular and Transplant Surgery, Warsaw Medical University

autor

Jacek Dzwonkowski

• Department of General, Vascular and Transplant Surgery, Warsaw Medical University

autor

Maciej Jędrasik

• Department of General, Vascular and Transplant Surgery, Warsaw Medical University

autor

Tomasz Ciąćka

• Department of General, Vascular and Transplant Surgery, Warsaw Medical University

autor

Barbara Górnicka

• Department of Pathological Anatomy, Warsaw Medical University

autor

Katarzyna Życińska

• Department of Family Medicine, Warsaw Medical University

autor

Jacek Szmidt

• Department of General, Vascular and Transplant Surgery, Warsaw Medical University

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Identyfikatory

DOI

10.2478/v10035-010-0007-z