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Acta clinica Croatica, Vol. 62. No. Supplement 2, 2023.

Original scientific paper

https://doi.org/10.20471/acc.2023.62.s2.9

Laparoscopic Adrenal-Sparing Surgery Case Series: Partial Adrenalectomy and Cyst Resection

Nikola Knežević ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Luka Penezić orcid id orcid.org/0000-0003-2842-553X ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia *
Ivan Milas ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia
Darko Kaštelan ; Department of Endocrinology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Tomislav Kuliš ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia
Toni Zekulić ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia
Bojan Čikić ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia
Željko Kaštelan ; Department of Urology, Zagreb University Hospital Center, Zagreb, Croatia; University of Zagreb School of Medicine, Zagreb, Croatia

* Corresponding author.

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Abstract

The aim is to present our case series documenting indications, laparoscopic technique,
surgical and endocrinologic outcomes of laparoscopic partial adrenalectomy. In the period from
April 2011 until October 2021, we performed 39 procedures. The patients were divided into three
groups: unilateral adrenal gland tumor with a normal contralateral gland (group 1), tumor of the solitary
adrenal gland (group 2), and adrenal cysts (group 3). There were 20 patients in group 1, 6 patients in
group 2, and 13 patients in group 3. The most common histology in group 1 was adenoma (40%), all
tumors in group 2 were renal cell carcinoma metastases, and all cysts in group 3 were benign. There were
no major complications (Clavien Dindo grade ≥2) in the whole cohort. All patients in groups 1 and 3
had favorable endocrinologic outcomes, and 50% of group 2 patients required lifelong hydrocortisone
replacement therapy. The procedure is safe and feasible with favorable outcomes in the hands of a high
volume adrenal surgeon.

Keywords

Laparoscopy; Adrenalectomy; Organ sparing treatments; Minimally invasive surgery

Hrčak ID:

309193

URI

https://hrcak.srce.hr/309193

Publication date:

31.7.2023.

Article data in other languages: croatian

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