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Kurganov I.A.

Kafedra éndoskopicheskoĭ khirurgii fakul'teta poslediplomnogo obrazovaniia Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Emel'ianov S.I.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Bogdanov D.Iu.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Matveev N.L.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Fedorov A.V.

Almasov National Medical Research Centre, 197341, St. Petersburg, Russia

Rutenburg G.M.

Sankt-Peterburgskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra fakul'tetskoĭ khirurgii

Guslev A.B.

Department of Faculty Surgery, Medical Faculty of St. Petersburg State University, St. Petersburg, Russia

Are large adrenal neoplasms technical limitation for laparoscopic adrenalectomy?

Authors:

Kurganov I.A., Emel'ianov S.I., Bogdanov D.Iu., Matveev N.L., Fedorov A.V., Rutenburg G.M., Guslev A.B.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2018;(12): 100‑105

DOI: 10.17116/hirurgia2018121100

Views: 419

Downloaded: 6

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To cite this article:

Kurganov IA, Emel'ianov SI, Bogdanov DIu, Matveev NL, Fedorov AV, Rutenburg GM, Guslev AB. Are large adrenal neoplasms technical limitation for laparoscopic adrenalectomy?. Pirogov Russian Journal of Surgery. 2018;(12):100‑105. (In Russ.)
https://doi.org/10.17116/hirurgia2018121100

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Aim. To study surgical features of laparoscopic adrenalectomy in patients with large adrenal neoplasms. Material and methods. The results of 32 laparoscopic adrenalectomy procedures were analyzed in patients with adrenal neoplasms over 5 cm. The control group consisted of 67 patients with adrenal neoplasms up to 5 cm. Results. There were significant differences in duration of operations (96.3±13.44 min vs. 67.2±11.07 min; p<0.05) and some postoperative variables. Postoperative morbidity was similar (9.4% vs. 7.5%; p>0.05). Conclusion. Laparoscopic adrenalectomy for adrenal neoplasms from 5 to 8—9 cm is feasible, effective and safe surgical procedure.

Keywords:

laparoscopic adrenalectomy
adrenal neoplasms

Authors:

Kurganov I.A.

Kafedra éndoskopicheskoĭ khirurgii fakul'teta poslediplomnogo obrazovaniia Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Emel'ianov S.I.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Bogdanov D.Iu.

kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Matveev N.L.

Kafedra éndoskopicheskoĭ khirurgii FPDO MGMSU

Fedorov A.V.

Almasov National Medical Research Centre, 197341, St. Petersburg, Russia

Rutenburg G.M.

Sankt-Peterburgskiĭ gosudarstvennyĭ meditsinskiĭ universitet, kafedra fakul'tetskoĭ khirurgii

Guslev A.B.

Department of Faculty Surgery, Medical Faculty of St. Petersburg State University, St. Petersburg, Russia

List of references:

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  2. Liao CH, Chueh SC, Lai MK, Hsiao PJ, Chen J. Laparoscopic adrenalectomy for potentially malignant adrenal tumors greater than 5 centimeters. The Journal of Clinical Endocrinology & Metabolism. 2006 Aug;91(8):3080-3083. https://doi.org/10.1210/jc.2005-2420
  3. Maestroni U, Vicente D, Del Rio P, Ziglioli F, Dinale F, Campobasso D, Ferretti S, Stojadinovic A, Avital I. Laparoscopic adrenalectomy for large adrenal masses: a challenge or a routine? Minerva Chirurgica. 2014 Apr;69(2):59-64.
  4. Emel’ianov SI, Kurganov IA, Bogdanov DYu, Matveev NL, Sadovnikov SV. Possibilities of laparoscopic adrenalectomy for big adrenal tumors. Endoskopicheskaya hirurgiya. 2011;17(4):3-9. (In Russ.)
  5. Ramacciato G, Mercantini P, La Torre M, Di Benedetto F, Ercolani G, Ravaioli M, Piccoli M, Melotti G. Is laparoscopic adrenalectomy safe and effective for adrenal masses larger than 7 cm? Surgical Endoscopy. 2008 Feb;22(2):516-521. https://doi.org/10.1007/s00464-007-9508-1
  6. Feo CV, Portinari M, Maestroni U, Del Rio P, Severi S, Viani L, Pravisani R, Soliani G, Zatelli MC, Ambrosio MR, Tong J, Terrosu G, Bresadola V. Applicability of laparoscopic approach to the resection of large adrenal tumours: a retrospective cohort study on 200 patients. Surgical Endoscopy. 2016 Aug;30(8):3532-3540. https://doi.org/10.1007/s00464-015-4643-6
  7. Kumar S, Nanjappa B, Agrawal P, Pushkarna A. Large bilateral adrenal leiomyomas presenting as calcified adrenal masses: a rare case report. Korean Journal of Urology. 2014 May;55(5):363-346. https://doi.org/10.4111/kju.2014.55.5.363
  8. Parnaby CN, Chong PS, Chisholm L, Farrow J, Connell JM, O’Dwyer PJ. The role of laparoscopic adrenalectomy for adrenal tumours of 6 cm or greater. Surgical Endoscopy. 2008 Mar;22(3):617-621. https://doi.org/10.1007/s00464-007-9709-7
  9. Asari R, Koperek O, Niederle B. Endoscopic adrenalectomy in large adrenal tumors. Surgery. 2012 Jul;152(1):41-49. https://doi.org/10.1016/j.surg.2012.02.003
  10. Sharma R, Ganpule A, Veeramani M, Sabnis RB, Desai M. Laparoscopic management of adrenal lesions larger than 5 cm in diameter. Urology Journal. 2009 Fall;6(4):254-259.
  11. Papalia R, Simone G, Leonardo C, Loreto A, Coppola R, Guaglianone S, Sacco R, Gallucci M. Laparoscopic transperitoneal right adrenalectomy for ‘large’ tumors. Urologia Internationalis. 2008;81(4):437-440. https://doi.org/10.1159/000167843
  12. Palazzo FF, Sebag F, Sierra M, Ippolito G, Souteyrand P, Henry JF. Long-term outcome following laparoscopic adrenalectomy for large solid adrenal cortex tumors. World Journal of Surgery. 2006 May;30(5):893-898. https://doi.org/10.1007/s00268-005-0288-2

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