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 ORIGINAL ARTICLE
Year : 2011  |  Volume : 7  |  Issue : 2  |  Page : 141-144

Laparoscopic adrenal surgery in children: Lessons from a single centre experience


Department of Urology, Amrita Institute of Medical Sciences and Research Centre, Kochi, India

Correspondence Address:
Sudhir Sukumar
Department of Urology, Amrita Institute of Medical Sciences and Research Centre, Kochi-682 041, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.78346

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Purpose: Although commonly performed in adults, laparoscopic adrenalectomy in children is performed only in centres with advanced laparoscopic expertise. Materials and Methods: This is a retrospective analysis of laparoscopic adrenalectomies performed at a single centre between January 2003 and May 2010. After preoperative evaluation with biochemical assays and radiologic imaging, surgery was performed by using the lateral transabdominal approach in all patients. Results: Ten laparoscopic adrenalectomies (including three bilateral) were performed in seven children, with a mean age of 9.6 years. The tumours ranged from 2 - 7 cms in size. The operative durations were 75 - 130 minutes (unilateral) and 250 - 270 minutes (bilateral). Operative blood loss was minimal. There were no open conversions, but terminal hand assistance was required in one large right pheochromocytoma. The postoperative hospital stay ranged from 3 - 10 days. The final pathological diagnoses included pheochromocytoma, hyperplasia and neuroblastoma. Follow-up at 24 - 87 months was uneventful. Conclusion: With adequate experience in laparoscopy, it is possible to perform adrenalectomy in selected children.






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