Experience with laparoscopic adrenalectomy in pediatric patients

K. A. Miller, C. Albanese, M. Harrison, Diana L Farmer, D. J. Ostlie, G. Gittes, G. W. Holcomb

Research output: Contribution to journalArticle

58 Scopus citations

Abstract

Background: Laparoscopic adrenalectomy (LA) is now being recognized as the standard in the management of benign adrenal pathology in adult patients. Few reports have described the use of this technique in pediatric patients. This study combines experience from 2 institutions with lateral transperitoneal LA in children to analyze our results and the clinical and biochemical response to laparoscopic adrenalectomy in patients with hormonally active adrenal tumors. Methods: A bi-institutional retrospective review of all patients undergoing LA between January 1997 and January 2001 was performed. Clinical and biochemical data were obtained during routine follow-up. Results: Seventeen laparoscopic adrenalectomies were performed during this period. The average operating time was 120 minutes, mean estimated blood loss was 25 mL, the mean size of the adrenal lesion was 4.8 cm, and the mean length of hospitalization was 35 hours. Resolution of clinical and biochemical parameters of adrenal hyperfunction was accomplished in all patients with adrenocortical hyperplasia and pheochromocytoma in postoperative follow-up. Conclusions: Laparoscopic adrenalectomy can be performed safely and effectively with a short hospital stay, minimal blood loss, and excellent functional outcome in this age group. The authors believe laparoscopic adrenalectomy is an excellent approach for the management of benign pediatric adrenal pathology.

Original languageEnglish (US)
Pages (from-to)979-982
Number of pages4
JournalJournal of Pediatric Surgery
Volume37
Issue number7
DOIs
StatePublished - 2002

Keywords

  • Adrenalectomy
  • Laparoscopic

ASJC Scopus subject areas

  • Surgery

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    Miller, K. A., Albanese, C., Harrison, M., Farmer, D. L., Ostlie, D. J., Gittes, G., & Holcomb, G. W. (2002). Experience with laparoscopic adrenalectomy in pediatric patients. Journal of Pediatric Surgery, 37(7), 979-982. https://doi.org/10.1053/jpsu.2002.33822