Experience with laparoscopic adrenalectomy in children
Section snippets
Materials and methods
We reviewed retrospectively 11 consecutive laparoscopic adrenalectomies performed in 10 children at our institution between June 1997 and March 2003. The medical records of all the patients were reviewed and the data collected were patient age and sex, preoperative diagnosis, location and size of the lesion, operating time, conversion to open procedure, blood loss, postoperative hospital stay, complications, pathologic diagnosis, and follow-up.
A thorough preoperative evaluation was carried out
Results
Ten children had laparoscopic adrenalectomies during the period from June 1997 to March 2003. Their mean age was 4 years (range, 3 weeks to 12 years), with equal number of boys and girls. Their body weights were between 4.14 kg and 42 kg. Presenting features included an antenatally detected right adrenal cyst (n = 1), early onset of virilization (n = 3 – 2 isosexual and 1 heterosexual), familial Cushing’s syndrome (n = 1), hypertension (n = 1), loin pain and hematuria (n = 1), hepatomegaly with
Discussion
Although laparoscopic adrenalectomy has been shown to have potential advantages over the open procedure in adults, the experience in the pediatric age group is still limited. With the growing experience and ease of laparoscopic surgery in children, the trend today is toward the increasing use of minimally invasive procedures. Laparoscopic adrenalectomy is increasingly gaining popularity. The adrenal gland, because of its small size and its retroperitoneal location, is suitable for laparoscopic
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