Pascual Piedrola JI, Rincon Mayans A, Tolosa Eizaguirre E, Barba Abad J, Romero Vargas L, Rosell Costa D. Adrenalectomía laparoscópica por metástasis metácrona. Experiencia en 12 casos. Actas Urol Esp 2010 Feb;34(2):201-205.
To assess the peroperative and oncological results of laparoscopic adrenalectomy for an isolated metastasis.
MATERIAL AND METHODS:
A retrospective, descriptive study was conducted of 12 laparoscopic adrenalectomies performed for metastases out of a total of 40 adrenalectomies performed from May 1998 to April 2009. The primary tumor was pulmonary in 7 patients, renal in 3, and colonic in 2. Demographic data collected included median age, operating time, blood loss, complications, tumor size, and length of hospital stay. The Kaplan-Meier method was used to analyze survival.
Operating time was 150 min (range, 90-206). Peroperative bleeding was 60 ml (range, 15-150). Peroperative complications occurred in 3% of patients. Tumor size was 4.5 cm (range, 1.3-8.5). No positive margins were seen in the resected specimens. Hospital stay was 3 days (range 3-5). Actuarial survival was 55.6% at 23 months (range, 2-38) with mean and median follow-up times of 20.9 and 23 months.
In selected patients, laparoscopic adrenalectomy for metastasis is a safe procedure with oncological results superimposable to those of open surgery.