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Adrenal-preserving laparoscopic surgery in selected patients with bilateral adrenal tumors

Adrenal-preserving laparoscopic surgery in selected patients with bilateral adrenal tumors,10.1016/j.surg.2003.07.027,Surgery,Masatoshi Iihara,Rumi Su

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Adrenal-preserving laparoscopic surgery in selected patients with bilateral adrenal tumors   (Citations: 22)
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BackgroundThere have been few reports of laparoscopic adrenal-sparing surgery for bilateral adrenal tumors. We review our experience with this type of surgery with the aim of evaluating its feasibility and safety.
Journal: Surgery , vol. 134, no. 6, pp. 1066-1072, 2003
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    • ...Surprisingly, several authors report a good cortical function even in patients submitted to bilateral cortical-sparing adrenalectomy with bilateral division of the adrenal vein [7, 8, 12, 13]...
    • ...Most authors indicate a thickness margin of at least 3‐5 mm as sufficient to achieve both results [8, 13]...
    • ...Care must be taken while performing partial resection, because if the amount of preserved adrenal tissue is too small, patients will become corticosteroiddependent, while still running the risk of disease recurrence [8, 15, 16]...

    Giuseppe Cavallaro, et al. Laparoscopic adrenal-sparing surgery: personal experience, review on t...

    • ...In recent laparoscopic series, most subtotal resections have been for inherited pheochromocytomas [35], but other tumors including metastases [2] and cortisol-producing adenomas [21] have been treated in this manner as well...
    • ...In recent laparoscopic series, most subtotal resections have been for inherited pheochromocytomas [35], but other tumors including metastases [2] and cortisol-producing adenomas [21] have been treated in this manner as well...
    • ...Adrenal function may be preserved if the central adrenal vein is taken provided 15% to 30% of the normal cortex is left in situ [2]...

    L. M. Brunt. Minimal access adrenal surgery

    • ...Subtotal adrenalectomy is associated with up to a 23% risk of recurrent pheochromocytoma and results in adequate postoperative cortical function in up to 92% of cases [26,27]...

    Michael E. Gertner, et al. Multiple endocrine neoplasia type 2

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