PMID- 18721010
OWN - NLM
STAT- MEDLINE
DCOM- 20081230
LR  - 20080825
IS  - 1092-6429 (Print)
IS  - 1092-6429 (Linking)
VI  - 18
IP  - 4
DP  - 2008 Aug
TI  - Laparoscopic bilateral simultaneous adrenalectomy: results of 11 operations.
PG  - 588-92
LID - 10.1089/lap.2007.0116 [doi]
AB  - BACKGROUND: This study was undertaken to evaluate the outcomes of the 
      simultaneous bilateral laparoscopic adrenalectomy. MATERIALS AND METHODS: This 
      was a retrospective study, including 11 patients with bilateral adrenal lesions, 
      affected by Cushing's syndrome (n=2), Cushing's disease (n=6), pheochromocytoma 
      (n=2), and 1 adrenocorticotrophin-hormone-dependent hypercortisolism of unknown 
      origin. RESULTS: Elevan bilateral adrenalectomies were carried out by the 
      laparoscopic approach with no conversions. The operations were performed in 7 
      cases by the lateral transperitoneal adrenalectomy (LTLA), in 3 by the posterior 
      approach (PRA), and in 1 by the combined approach. The mean size of the masses 
      was 5 cm. (range, 4-13). The average operating time was 245 minutes for LTLA and 
      218 minutes for PRA (P<0.05). The estimated mean blood loss was 87+/-36 mL 
      (range, 20-150). No patients required transfusions. The mean hospital stay was 
      5+/-1.8 days (range, 4-7). The mean follow-up was 34 months (range, 2-96). 
      CONCLUSIONS: Our study confirms that the bilateral adrenalectomy by the minimally 
      invasive technique is safe and effective, affording acceptable blood loss and 
      morbidity with a short hospital stay.
FAU - Pugliese, Raffaele
AU  - Pugliese R
AD  - Department of Surgery, Niguarda Hospital, Milan, Italy.
FAU - Boniardi, Marco
AU  - Boniardi M
FAU - de Carli, Stefano
AU  - de Carli S
FAU - Sansonna, Fabio
AU  - Sansonna F
FAU - Costanzi, Andrea
AU  - Costanzi A
FAU - Maggioni, Dario
AU  - Maggioni D
FAU - Ferrari, Giovanni C
AU  - Ferrari GC
FAU - Di Lernia, Stefano
AU  - Di Lernia S
FAU - Loli, Paola
AU  - Loli P
FAU - Grossrubatscher, Erika
AU  - Grossrubatscher E
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Laparoendosc Adv Surg Tech A
JT  - Journal of laparoendoscopic & advanced surgical techniques. Part A
JID - 9706293
SB  - IM
MH  - Adolescent
MH  - Adrenal Gland Neoplasms/surgery
MH  - Adrenalectomy/*methods
MH  - Adrenocortical Hyperfunction/surgery
MH  - Adult
MH  - Blood Loss, Surgical/physiopathology
MH  - Cushing Syndrome/surgery
MH  - Female
MH  - Humans
MH  - Laparoscopy/*methods
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Pheochromocytoma/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2008/08/30 09:00
MHDA- 2008/12/31 09:00
CRDT- 2008/08/30 09:00
PHST- 2008/08/30 09:00 [pubmed]
PHST- 2008/12/31 09:00 [medline]
PHST- 2008/08/30 09:00 [entrez]
AID - 10.1089/lap.2007.0116 [doi]
PST - ppublish
SO  - J Laparoendosc Adv Surg Tech A. 2008 Aug;18(4):588-92. doi: 
      10.1089/lap.2007.0116.