Abstract
Objectives: The treatment of malignant adrenal tumors using laparoscopic surgery remains controversial. We thus compared the perioperative outcome of the laparoscopic adrenalectomy for the treatment of malignant tumors with the outcome for benign tumors. We also evaluated the oncological outcome of the laparoscopic adrenalectomy for a malignancy. Methods: Since 1999 a total of nine laparoscopic adrenalectomies for a malignancy have been performed in nine patients. The median adrenal tumor size was 3 cm. The laparoscopic approach was transperitoneal in all cases. Seven patients had no evidence of a systemic metastatic disease, whereas two patients with a metastatic renal cell carcinoma had systemic metastatic disease at the time of the operation. Results: The median operation time was 165 min and the estimated blood loss was 75 mL in the laparoscopic adrenalectomy for a malignancy. There was no significant difference between laparoscopic adrenalectomy for malignant and benign tumors. Regarding the oncological outcome, seven of the nine patients, including the two palliative cases, treated with a laparoscopic adrenalectomy for a malignancy were alive at a median follow-up of 20 months. One patient died of other causes. Conclusions: Our results clearly indicate that a laparoscopic adrenalectomy for the treatment of a metastatic adrenal malignancy can be performed with an acceptable outcome as a minimally invasive method in carefully selected patients.
| Original language | English |
|---|---|
| Pages (from-to) | 295-298 |
| Number of pages | 4 |
| Journal | International Journal of Urology |
| Volume | 15 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 1 2008 |
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All Science Journal Classification (ASJC) codes
- Urology
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Laparoscopic adrenalectomy for malignant tumors. / Eto, Masatoshi; Hamaguchi, Masumitsu; Harano, Masahiko; Yokomizo, Akira; Tatsugami, Katsunori; Naito, Seiji.
In: International Journal of Urology, Vol. 15, No. 4, 01.04.2008, p. 295-298.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Laparoscopic adrenalectomy for malignant tumors
AU - Eto, Masatoshi
AU - Hamaguchi, Masumitsu
AU - Harano, Masahiko
AU - Yokomizo, Akira
AU - Tatsugami, Katsunori
AU - Naito, Seiji
PY - 2008/4/1
Y1 - 2008/4/1
N2 - Objectives: The treatment of malignant adrenal tumors using laparoscopic surgery remains controversial. We thus compared the perioperative outcome of the laparoscopic adrenalectomy for the treatment of malignant tumors with the outcome for benign tumors. We also evaluated the oncological outcome of the laparoscopic adrenalectomy for a malignancy. Methods: Since 1999 a total of nine laparoscopic adrenalectomies for a malignancy have been performed in nine patients. The median adrenal tumor size was 3 cm. The laparoscopic approach was transperitoneal in all cases. Seven patients had no evidence of a systemic metastatic disease, whereas two patients with a metastatic renal cell carcinoma had systemic metastatic disease at the time of the operation. Results: The median operation time was 165 min and the estimated blood loss was 75 mL in the laparoscopic adrenalectomy for a malignancy. There was no significant difference between laparoscopic adrenalectomy for malignant and benign tumors. Regarding the oncological outcome, seven of the nine patients, including the two palliative cases, treated with a laparoscopic adrenalectomy for a malignancy were alive at a median follow-up of 20 months. One patient died of other causes. Conclusions: Our results clearly indicate that a laparoscopic adrenalectomy for the treatment of a metastatic adrenal malignancy can be performed with an acceptable outcome as a minimally invasive method in carefully selected patients.
AB - Objectives: The treatment of malignant adrenal tumors using laparoscopic surgery remains controversial. We thus compared the perioperative outcome of the laparoscopic adrenalectomy for the treatment of malignant tumors with the outcome for benign tumors. We also evaluated the oncological outcome of the laparoscopic adrenalectomy for a malignancy. Methods: Since 1999 a total of nine laparoscopic adrenalectomies for a malignancy have been performed in nine patients. The median adrenal tumor size was 3 cm. The laparoscopic approach was transperitoneal in all cases. Seven patients had no evidence of a systemic metastatic disease, whereas two patients with a metastatic renal cell carcinoma had systemic metastatic disease at the time of the operation. Results: The median operation time was 165 min and the estimated blood loss was 75 mL in the laparoscopic adrenalectomy for a malignancy. There was no significant difference between laparoscopic adrenalectomy for malignant and benign tumors. Regarding the oncological outcome, seven of the nine patients, including the two palliative cases, treated with a laparoscopic adrenalectomy for a malignancy were alive at a median follow-up of 20 months. One patient died of other causes. Conclusions: Our results clearly indicate that a laparoscopic adrenalectomy for the treatment of a metastatic adrenal malignancy can be performed with an acceptable outcome as a minimally invasive method in carefully selected patients.
UR - http://www.scopus.com/inward/record.url?scp=41749106660&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=41749106660&partnerID=8YFLogxK
U2 - 10.1111/j.1442-2042.2008.01997.x
DO - 10.1111/j.1442-2042.2008.01997.x
M3 - Article
C2 - 18380814
AN - SCOPUS:41749106660
VL - 15
SP - 295
EP - 298
JO - International Journal of Urology
JF - International Journal of Urology
SN - 0919-8172
IS - 4
ER -