Laparoscopic adrenalectomy (update of September 2014 presentation)
Epublication WebSurg.com, Jun 2016;16(06). URL: http://websurg.com/doi/lt03enpatkowski011
Laparoscopic adrenalectomy is an attractive alternative to open surgery in children as it is associated with less operative pain and a rapid resumption of diet and shorter operative time. The relative contraindications are patients with malignancies which involve lymph nodes, highly vascular pheochromocytomas, and large tumors. Neuroblastoma, congenital adrenal hyperplasia, pheochromocytomas and adrenal cortical carcinomas are the main indications in children. The transabdominal lateral approach is more commonly used in the pediatric population. The tumors are incidental findings and 31% of them are malignant in children. The various techniques of adrenalectomy, preoperative work-up, and indications are described in this lecture.