@article{GS14739,
author = {Marco Puccini and Erica Panicucci and Vincenzo Candalise and Cristina Ceccarelli and Carlo Maria Neri and Piero Buccianti and Paolo Miccoli},
title = {The role of laparoscopic resection of metastases to adrenal glands},
journal = {Gland Surgery},
volume = {6},
number = {4},
year = {2017},
keywords = {},
abstract = {Background: The potential role of the laparoscopic approach for metastases to the adrenal gland is debated. We review here a series of patients consecutively submitted to laparoscopic adrenalectomy (LA) for suspected adrenal metastasis (AM).
Methods: Retrospective study (consecutive series) of LA for AM. We measured parameters associated to primary tumor and metastasis. Statistical analysis: stepwise regression model.
Results: Thirty-seven LA were performed on 36 patients. The mean age was 62.1 yrs. The side was right in 13 cases. Primary tumor was in the lung (n=22), breast (n=4), colon-rectum (n=4), kidney (n=3), thyroid, melanoma and ovary (n=1 each). Thirty-three out of 37 were confirmed to be AM (mean diameter 50 mm). Twenty-five were single metastasis. One LA was converted due to cava vein infiltration. Mean operative time was 142 min’, median p.o. hospital stay was 3 days. After a mean follow-up of 33 months, 9 patients (25%) were alive free of disease, 6 (17%) were alive with disease. Mean post-adrenalectomy DFI was 19 months (range,
0–97 months), and it was the most predictive variable for survival (P},
issn = {2227-8575}, url = {https://gs.amegroups.org/article/view/14739}
}