INTRODUCTION: Laparoscopy has become the gold-standard approach for excision of benign @entity5 but the question of its safety for @entity5 is still controversial. Our aim was to evaluate the oncologic outcome of laparoscopic adrenalectomy for adrenal @entity3 and to look for predictors of a negative surgical outcome. @entity1 AND METHODS: We retrospectively reviewed the charts of all @entity1 who underwent laparoscopic adrenalectomy for suspicion of adrenal @entity3 between 2007 and 2013 at a single academic institution. @entity1349 ( @entity1349 ) and @entity5 ( @entity5 ) were estimated using the Kaplan-Meier method. Univariate analysis was performed to determine risk factors of negative surgical outcome (positive surgical margins, complications, conversion, significant @entity190 ) and predictors of @entity1349 and @entity5 . RESULTS: Thirteen @entity1 underwent 14 laparoscopic adrenalectomies. All @entity1 were operated by a single highly experienced surgeon. Complications occurred in 2 @entity1 (15%): 2 blood transfusions (Clavien-score=2). There were 3 positive surgical margins (21%). Mean length of hospital stay was 4.3 days. Unadjusted @entity1349 and @entity5 were respectively 48.4% and 83.3% at 1 year, 39.5% and 66.7% at 5 years. In univariate analysis, @entity5 size was the only risk factor of complication (P=.009) and conversion (P=0.009). Capsule invasion and @entity5 size were risk factors of positive surgical margins (P=0.01 and P<0.0001). One hundred percent of complications, conversion and positive surgical margins occurred in @entity5 >7.5 cm on preoperative CT-scan. No predictors of @entity1349 and @entity5 was found in univariate analysis. CONCLUSION: Laparoscopic adrenalectomy for adrenal @entity3 achieves good surgical and oncologic outcomes. When performed by highly experienced surgeon, complications and positive surgical margins occur only in @entity5 >7.5 cm. These @entity1 may benefit from an open surgical approach.

[Adrenalectomy for adrenal metastases: is the laparoscopic approach beneficial for all XXXX ?].

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'adrenal tumors', 'malignant lesions', 'cancer-specific survival', 'CSS', 'tumors'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity1349 :: ('MESH:D011475', 'Disease') :: ['RFS', 'Recurrence-free survival']
@entity1 :: (9606,Species) :: ['patients']
