Common Inquiries Regarding Laparoscopic Adrenalectomy: A Review of the Literature.
DOI:
https://doi.org/10.55825/RECET.SBU.0374Palavras-chave:
adrenalectomy, laparoscopy, carcinoma, neoplasm metastasis, pheochromocytoma.Resumo
Over the last 25 years, there have been significant advancements in the surgical treatment of adrenal disorders. Studies have confirmed the effectiveness of laparoscopic adrenalectomy (LA) for addressing benign adrenal tumors, including adenomas, myelolipomas, aldosteronomas, and Cushing's syndrome. However, open adrenalectomy (OA) remains the preferred option for certain adrenal conditions, such as pheochromocytoma, adrenal cortical carcinoma (ACC), adrenal metastases, and large adrenal masses.
Objective
The purpose of this review is to examine existing literature to gain insights into the application of laparoscopic techniques for treating pheochromocytoma, adrenal cortical carcinoma, adrenal metastases, and large adrenal masses.
Materials and Methods
A thorough literature review was conducted using the PubMed, MEDLINE, and Cochrane Library databases, focusing on publications from 2000 to January 2024. The review assessed various factors, including tumor size, surgical approach, oncological outcomes, recurrence rates, and perioperative complications.
Results
Initially, 152 articles were identified, and their abstracts were reviewed. Following this, 65 studies were analyzed in detail, with 31 incorporated into this review.
Discussion/Conclusion
LA is a feasible surgical approach for early-stage ACC, adrenal metastases, large adrenal masses, and pheochromocytomas, particularly when imaging results reveal encapsulated tumors without evidence of invasion into surrounding tissues or enlarged lymph nodes. Transitioning to open surgery is necessary when a secure oncological resection is uncertain.
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Copyright (c) 2026 Marcelo Lopes de Lima, Gabriel Tikara Bragion Tanaka , João Vitor Pinesso Galhardo, Victor Capone Quintana, Caio Cezar Esqueapatti Sandrin, Helena Da Cunha Lopes De Lima, Pedro Dametto Neto, Maurício Moreira Da Silva Júnior, Marcelo Lopes De Lima
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
