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Bandar N Alharthi et al

with other studies. Jacob et al found results which are 5. Soper N, Brunt L, Kerbl K. Laparoscopic general surgery.
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6. Hassan MA. Laparoscopic adrenalectomy: an update. AJU
The operative time required for laparoscopic adrenalec-
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Marked improvement was seen gradually in the technical anterior or posterior approach. Am J Surg 1982;144:322-324.
aspects of the adrenalectomy indicating a learning curve. 8. Van Heerden J, Young W, Grant C, et al. Adrenal surgery for
Similar reports were published by Prinz. 12 hypercortisolism-surgical aspects. Surgery 1995;117:466-472.
9. Nash P, Leibovitch I, Donohue J. Adrenalectomy via the dorsal
The advantages of total transperitoneal laparoscopic
approach: a benchmark for laparoscopic adrenalectomy. J Urol
adrenalectomy are better visualization of anatomy, easy 1995;154:1652-1654.
accessibility and a better exposure. Similar advantages were 10. Gagner M, Lacroix A, Bolte E. Laparoscopic adrenalectomy in
identified by AlOtaibi. 13 Cushing’s syndrome and pheochromocytoma. N Engl J Med
1992;327:1033.
In our study the feasibility of the laparoscopic approach
11. Kenneth J, Richard E, Richard JG. Laparoscopic adrenalectomy
in terms of safety, outcome, efficacy and complications was
a new standard of care. Ann Surg 1997;225(5):495-502.
similar to other well-established studies. 14-17 A major 12. Prinz R. A comparison of laparoscopic and open adrenalec-
complication in our study was a port site hernia in one tomies. Arch Surg 1995;143:489-494.
patient. Laparoscopic adrenalectomy was performed in two 13. Al-Otaibi K. Laparoscopic adrenalectomy: 10 years experience.
Urol Ann 2012 May-Aug;4(2):94-97.
patients of pheochromocytoma, five patients had adrenal
14. Fazeli-Martin S, Gill IS, Hsu TH, Sung GT, Novick AC.
adenomas. Recent studies have suggested that the ability to
Laparoscopic renal and adrenal surgery in obese patients:
diagnose, localize, preoperative blockade and control of the comparison to open surgery. J Urol 1999;162:665-669.
intraoperative hemodynamics of the pheochromocytomas 15. Mobius E, Nies C, Rothmund M. Surgical treatment of
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16. Gill IS, Schweizer D, Nelson D. Laparoscopic versus open
In our study there was a significant reduction in the need adrenalectomy in 210 patients: cleveland clinic experience with
for parenteral pain medication, a more rapid resumption of 210 cases (abstract 70) J Urol 1999;161(Suppl):21.
regular diet and a significant decrease in length 17. Korman JE, Ho T, Hiatt JR, Phillips EH. Comparison of
of postoperative stay. These results confirm and enhance laparoscopic and open adrenalectomy. Am Surg 1997;63:908-912.
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CONCLUSION
19. Guazzoni G, Montorsi F, Bocciardi A, et al. Transperitoneal
Laparoscopic adrenalectomy can be performed safely and laparoscopic versus open adrenalectomy for benign hyper-
efficiently and confers the benefits of minimally invasive functioning adrenal tumors: a comparative study. J Urol 1995;
153:1597-1600.
surgery. Significant advantages of the laparoscopic approach
20. Brunt L, Doherty G, Norton J, et al. Laparoscopic adrenalectomy
are better patient satisfaction, decreased length of hospital compared to open adrenalectomy for benign adrenal neoplasms.
stay and early return to normal activity. J Am Coll Surg 1996;183:1-10.
Laparoscopic approach can be employed in most patients
with adrenal pathology. Laparoscopic adrenalectomy ABOUT THE AUTHORS
requires the knowledge and experience of an open
Bandar N Alharthi
adrenalectomy and extensive laparoscopic experience.
Consultant, Breast and Endocrine Surgery; Assistant Professor
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Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
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