A transperitoneal laparoscopic approach was utilized to carry out 40 adrenalectomies in patients affected by Conn's disease (19 cases), Cushing's syndrome (9) cases and pheochromocytoma (12 cases). The adrenal disease was situated on the right in 16 cases and on the left in 24. Median operating time was 2 hr 50 min (range: 1 hr 40 min-6 hr 15 min). No blood transfusions were necessary and only one patient required open abdominal surgery due to a hemoperitoneum. Median time to discharge after surgery was 2.9 +/- 0.8 days. Only minimum doses of analgesics were necessary in the postoperative period. All patients returned to work within 12 days of hospital discharge (range +/- SE: 8.4 +/- 1.2 days). Three months after surgery, no patient showed evidence of recurrence or persistence of disease. In conclusion, laparoscopic adrenalectomy is a minimally invasive approach which is safe and effective for patients with benign adrenal hyperfunction.
|Number of pages||5|
|Journal||Acta Urologica Italica|
|Publication status||Published - 1995|
- adrenal gland
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