Page 28 - World Journal of Laparoscopic Surgery

Our Experience with Laparoscopic Adrenalectomy
or port site recurrence. 4–7 In the present study, the laparoscopic • Right-sided tumors.
approach was adopted in all patients with adrenal tumors • History of past abdominal surgery.
regardless of tumor size. Two patients were converted to open
adrenalectomy because of large tumor size. This information can help in appropriate counseling and taking
However, the size of the tumor can be regarded as the most of preoperative consent of candidates for LA.
important factor for conversion. 8 Laparoscopic adrenalectomy can also be carried out safely in
In recent literature, contraindications for LA are invasive a pregnant woman without harm to the fetus.
adrenocortical carcinoma, large tumor >10–12 cm in diameter,
and malignant adrenocorticotropic hormone (ACTH) secreting references
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and time-consuming procedure than left-sided adrenalectomy. 6. MacGillivray DC, Whalen GF, Malchoff CD, et al. Laparoscopic
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