Laparoscopic adrenalectomy in the treatment of malignant adrenal lesions

Translated title of the contribution: [Autom. eng. transl.] Laparoscopic adrenalectomy in the treatment of malignant adrenal lesions

Celestino Pio Lombardi, Marco Raffaelli, Mauro Boscherini, Carmela De Crea, Rocco Domenico Alfonso Bellantone, Pier Francesco Alesina, Emanuela Traini, Pietro Princi

Research output: Contribution to journalArticle

Abstract

The role of laparoscopic approach for the treatment of malignant adrenal diseases is still controversial. The aim of this study was to verify the results of laparoscopic adrenalectomy in the management of adrenal malignancies. The medical records of all the patients who underwent laparoscopic procedures for adrenal diseases and in whom malignancy was demonstrated at final histology were reviewed. Nine patients were included (3 malignant pheochromocytomas, 4 adrenocortical carcinomas and 2 adrenal metastases). At a mean follow-up of 17.0 +/- 12.8 months (range, 2-36), all but two patients were alive and disease free. One patient died for unrelated causes. No patient developed local or port site recurrence. The results of this study demonstrate that laparoscopic adrenalectomy can be safe and effective also in case of adrenal malignancies. Conversion to open surgery in mandatory in case of local invasion and when the dissection cannot be as accurate as in conventional operations. A preliminary laparoscopic exploration can be planned in case of suspected malignant lesions to confirm the diagnosis and to evaluate their operability.
Translated title of the contribution[Autom. eng. transl.] Laparoscopic adrenalectomy in the treatment of malignant adrenal lesions
Original languageItalian
Pages (from-to)255-256
Number of pages2
JournalTumori
Volume89
Publication statusPublished - 2003

Keywords

  • ADRENAL MALIGNANCIES
  • ADRENAL TUMORS
  • LAPAROSCOPIC

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