Laparoscopic transabdominal lateral adrenalectomy

Department of Surgery, University of Medicine and Dentistry of New Jersey, Newark, New Jersey.
Journal of Surgical Oncology (Impact Factor: 3.24). 10/2012; 106(5):611-8. DOI: 10.1002/jso.23250
Source: PubMed


Laparoscopic adrenalectomy is a mainstay of operative options for adrenal tumors and allows surgeons to perform adrenalectomies with less morbidity, less post-operative pain, and shorter hospital stays. The literature has demonstrated its efficacy to be equal to open adrenalectomy in most cases. With regard to malignant primary and metastatic lesions, controversy still remains, however, consideration of a laparoscopic approach for smaller, well circumscribed and non-invasive lesions is reasonable. During any laparoscopic resection, when there is doubt about the ability to safely remove the lesion with an intact capsule, conversion to an open approach should be considered. The primary goal of a safe and complete oncologic resection cannot be compromised. For most benign lesions, laparoscopic approaches are safe and feasible and conversion to an open approach is necessary only for lesions where size limits the ability of a minimally invasive resection. J. Surg. Oncol. 2012; 106:611-618. © 2012 Wiley Periodicals, Inc.

5 Reads
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Adrenal metastases have commonly been reported in a wide variety of cancers but not in gallbladder cancer. We here present a case of a 45-year-old male patient with gallbladder carcinoma where left adrenal metastasis was detected on staging 18F-FDG PET/CT. This was confirmed histopathologically. 18F-FDG PET/CT can have a significant impact on management of patients with gallbladder carcinoma by demonstrating rare sites of metastasis.
    Clinical Nuclear Medicine 03/2014; 39(2):184-185. DOI:10.1097/RLU.0b013e318281678e · 3.93 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Robotic-assisted adrenalectomy is an increasingly used intervention for patients with a variety of surgical adrenal lesions, including adenomas, aldosteronomas, pheochromocytomas, and metastases to the adrenal gland. Compared with traditional laparoscopy, robotic adrenalectomy has comparable perioperative outcomes and is associated with improved hospital length of stay and blood loss, though it does come at a cost premium. Emerging literature also supports a role for robotics in partial adrenalectomy and metastasectomy. Ultimately, well-conducted prospective trials are needed to fully define the role of robotics in the surgical management of adrenal disease.
    Urologic Clinics of North America 08/2014; DOI:10.1016/j.ucl.2014.07.008 · 1.20 Impact Factor