Laparoscopic hand‐assisted adrenalectomy for tumours larger than 5 cm

Adrenal surgery remains a distinct surgical challenge. Technical challenges associated with laparoscopic adrenalectomy are tumour size, haemorrhage control and oncological compromise. Hand‐assisted laparoscopic (HAL) adrenalectomy, utilizing a hand‐port device, offers minimally invasive surgery with the advantages and safety of tactile feedback. We aimed to assess the efficacy of HAL for patients requiring adrenalectomy for tumours over 5 cm in size.

[1]  J. Raman,et al.  EVALUATION OF THE ACCURACY OF THE NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM (NSQIP) RISK CALCULATOR FOR PREDICTING COMPLICATIONS FOLLOWING ADRENALECTOMY: MP37‐17 , 2017 .

[2]  O. Castillo,et al.  Complications associated with laparoscopic adrenalectomy: Description and standardized assessment. , 2014, Actas urologicas espanolas.

[3]  B. Matthews,et al.  Risk factors affecting operative approach, conversion, and morbidity for adrenalectomy: a single-institution series of 402 patients , 2013, Surgical Endoscopy.

[4]  Wen-Jeng Wu,et al.  Comparison of Laparoscopic Adrenalectomy with Open Surgery for Adrenal Tumors , 2009, The Kaohsiung journal of medical sciences.

[5]  F. Venneri,et al.  Adrenal masses in neoplastic patients , 2009, Surgical Endoscopy.

[6]  S. Chen,et al.  Predictive factors for open conversion of laparoscopic adrenalectomy: a 13-year review of 456 cases. , 2007, Journal of endourology.

[7]  C. Malchoff,et al.  Laparoscopic resection of large adrenal tumors , 2002, Annals of Surgical Oncology.

[8]  S. Chueh,et al.  Laparoscopic adrenalectomy for potentially malignant adrenal tumors greater than 5 centimeters. , 2006, The Journal of clinical endocrinology and metabolism.

[9]  H. Neumann,et al.  Endoscopic treatment of large primary adrenal tumours , 2005, The British journal of surgery.

[10]  A. Louvel,et al.  Survival rates and prognostic factors in adrenocortical carcinoma , 1992, World Journal of Surgery.

[11]  Q. Duh,et al.  Reasons for Conversion from Laparoscopic to Open or Hand-assisted Adrenalectomy: Review of 261 Laparoscopic Adrenalectomies from 1993 to 2003 , 2004, World Journal of Surgery.

[12]  S. Sidhu,et al.  Hand‐assisted laparoscopic adrenalectomy: an alternative minimal invasive surgical technique for the adrenal gland , 2003, ANZ journal of surgery.

[13]  D. Coit,et al.  Metastasis to the Adrenal Gland: The Emerging Role of Laparoscopic Surgery , 2003, Annals of Surgical Oncology.

[14]  I. Bennett,et al.  Hand‐assisted laparoscopic adrenalectomy: An alternative minimal invasive surgical technique for the adrenal gland , 2002, ANZ journal of surgery.

[15]  I. Gill.  The case for laparoscopic adrenalectomy. , 2001, The Journal of urology.

[16]  F. Venneri,et al.  Adrenal masses in neoplastic patients: the role of laparoscopic procedure. , 2001, Surgical endoscopy.

[17]  G. Sung,et al.  Laparoscopic adrenalectomy for large-volume (> or = 5 cm) adrenal masses. , 2000, Journal of endourology.

[18]  M. Gagner,et al.  LAPAROSCOPIC vs. OPEN ADRENALECTOMY: CLEVELAND CLINIC EXPERIENCE WITH 210 CASES , 1999 .

[19]  J. Norton,et al.  Therapeutic controversy: The role of laparoscopic surgery in adrenal disease. , 1998, The Journal of clinical endocrinology and metabolism.

[20]  M. Gagner,et al.  Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. , 1997, Annals of surgery.