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 ORIGINAL ARTICLE
Year : 2010  |  Volume : 6  |  Issue : 4  |  Page : 100-105

Laparoscopic adrenalectomy: A single center experience


Department of Urology, Institute of Post-Graduate Medical Education and Research (IPGMER) and Seth Sukhlal Karnani Memorial Hospital (SSKM), Kolkata - 700 020, India

Correspondence Address:
Suresh Kumar
601 Doctors PG Hostel, 242 AJC Bose Road, IPGMER and SSKM Hospital, Kolkata - 700 020, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.72595

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Aims : To evaluate the efficacy and safety of laparoscopic adrenalectomy in benign adrenal disorders. Methods and Material: Since July 2007, twenty patients have undergone laparoscopic adrenalectomy for various benign adrenal disorders at our institution. Every patient underwent contrast enhanced CT-abdomen. Serum corticosteroid levels were conducted in all, and urinary metanephrines, normetanephrines and VMA levels were performed in suspected pheochromocytoma. All the patients underwent laparoscopic adrenalectomy via the transperitoneal approach. Results : The patients were in the age range of 18-57 years, eleven males and nine females, seven right, eleven left, two bilateral. The mean operative time was 150 minutes (120-180), mean hospital stay four days (3-5), mean intraoperative blood loss 150 ml and mean post-operative analgesic need was for 36 (24-72) hours. One out of twenty-two laparoscopic operations had to be converted into open adrenalectomy due to intra-operative complications. Conclusions : Laparoscopic adrenalectomy is a safe, effective and useful procedure without any major post-operative complication and is the gold standard for all benign adrenal disorders.






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