Simultaneous Bilateral Laparoscopic Adrenalectomy Is Safe for Synchronous Large Adrenal Tumors

Author: Ramacciato Giovanni   Mercantini Paolo   La Torre Marco   De Ruvo Nicola   Ercolani Giorgio   Stigliano Antonio   Toscano Vincenzo  

Publisher: Society of Laparoendoscopic Surgeons

ISSN: 1086-8089

Source: JSLS, Journal of the Society of Laparoendoscopic Surgeons, Vol.10, Iss.3, 2006-07, pp. : 381-385

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Abstract

Laparoscopy is now considered the gold standard for treating benign monolateral adrenal lesions. We present the case of a patient affected by Cushing's syndrome due to large bilateral adrenal adenomas (7.5cm) who underwent simultaneous laparoscopic bilateral adrenalectomy. An anterior, lateral transperitoneal approach was used. Operative time was 200 minutes, and blood loss was 200mL. No intraoperative complications were encountered. The postoperative course was uneventful, and the patient was discharged after 3 days. Laparoscopic bilateral adrenalectomy is a safe, effective procedure when performed by experienced hands and may be an alternative treatment for large adrenal lesions.