Department of Urology, Ruijin Hospital, School of Medicine, Shanghai
Jiaotong University, Shanghai 200025, China
Objective: To explore the feasibility of using laparoscopic
adrenalectomy for adrenal metastasis.
Methods: Fifteen patients have undergone laparoscopic
adrenalectomies for adrenal metastasis in our hospital since
September 2005. The mean adrenal tumor size was 2.6 cm
(range, 1.8 to 3.5). The laparoscopic approach was applied retroperitoneally in all these 15 cases.
Results: Two cases were conver ted to open surger y
intraoperatively. The reason for conversion was severe adhersion
to the surrounding tissues. There was no peri-operative mortality.
The pathological diagnoses were metastatic cancer, which were
originally from lung cancer (n=8), hepatic cancer (n=4), and
thymic cancer (n=3). Median follow-up was 24 months (range,
3 to 42 months). Five patients died of the progressive disease.
The other 10 patients were alive with stable disease. No local
recurrence was detected. There were no port site metastases or
Conclusions: Laparoscopic adrenalectomy can be performed
with acceptable outcomes in the carefully selected patients.