BACKGROUND: Laparoscopic adrenalectomy is now used worlwide and is a great advance in laparoscopic technology. The reported benefits of this approach include decreased @entity190 , better intraoperative haemodynamic control and shorter hospital stay, however some doubts on its indication for adrenal secreting @entity5 are still present. The aim of this retrospective study is to compare the physiologic alterations on blood pressure during laparoscopic and laparotomic adrenalectomy in @entity1 with adrenal secreting @entity652 , the intraoperative @entity190 and mean hospital stay in the 2 groups of @entity1 . A review of the literature is included. METHODS: Laparoscopic adrenalectomy was performed in 13 @entity1 ( @entity1368 with @entity652 in 10, @entity1911 in 3). Laparotomy was used for adrenalectomy in 9 @entity1 : 4 with @entity1911 and 5 with Conn's @entity652 . All the selected @entity1 in the 2 groups had benign @entity652 with @entity5 size less than 6 cm. During surgery the following data were determined: blood pressure before inducing anaesthesia, pressure peaks, episodes of @entity101 and of @entity551 , @entity190 and operating times. The mean hospital stay was also recorded. RESULTS: No differences were found in the blood-pressure values of the 2 groups of @entity1 . The @entity190 was minimal in all but 2 @entity1 . The mean hospital stay was significantly longer in those @entity1 who underwent laparotomy. No significant differences were recorded in the mean operating time. CONCLUSIONS: The 2 techniques seem to have the same physiological consequences in the cardiovascular system, and the operating times for laparoscopic and laparotomic adrenalectomy are not so different. Laparoscopic adrenalectomy is a safe technique to treat small benign adrenal secreting @entity652 .

Surgical technique and haemodynamic changes in adrenalectomy for secreting XXXX . Personal experience and review of the literature.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity1911 :: ('MESH:D010673', 'Disease') :: ['pheochromocytoma'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumors'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adrenal adenoma', 'adenomas', 'adenoma'] @entity1368 :: ('MESH:D006929', 'Disease') :: ["Conn's syndrome"]
@entity5 :: (MESH:D009369,Disease) :: ['neoplasia']
