SpringerLink
Log in

Synchronous bilateral endoscopic adrenalectomy: experiences after 18 operations

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

An Erratum to this article was published on 01 August 2004

Abstract

Background: Patients who undergo unilateral adrenalectomy are known to benefit from the endoscopic procedure. Only a few reports on bilateral endoscopic adrenalectomy exist. The optimal approach and the value of this operation were assessed in this study. Methods: For 18 patients, synchronous bilateral lateral adrenalectomy with intraoperative repositioning was performed for different indications. The transperitoneal and retroperitoneal approaches were varied on both sides. Results: With the reported procedure, the operative time diminished considerably. Blood loss was low, and no blood transfusions were required. No conversion to an open procedure was necessary. There were no intraoperative or postoperative complications, except for one death from pulmonary embolism. The mean postoperative hospital stay was 7 days, and the follow-up evaluation showed overall improvement. Conclusion: The risk associated with endoscopic bilateral adrenalectomy is low. Transperitoneal and retroperitoneal lateral adrenalectomy are recommended as approaches of choice. The authors advocate early bilateral adrenalectomy for Cushing’s disease after unsuccessful transsphenoidal operation and ectopic adrenocorticotropic hormone production from an inaccessible tumour.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  1. S Baba A Miyajima A Uchida H Asanuma A Miyakawa M Murai (1997) ArticleTitleA posterior lumbar approach for retroperitoneoscopic adrenalectomy: assessment of surgical efficacy. Urology 50 19–24 Occurrence Handle10.1016/S0090-4295(97)00119-2 Occurrence Handle1:STN:280:ByiA287htF0%3D Occurrence Handle9218013

    Article  CAS  PubMed  Google Scholar 

  2. TW Bax DR Marcus GQ Galloway LL Swanstrom BC Sheppard (1996) ArticleTitleLaparoscopic bilateral adrenalectomy following failed hypophysectomy. Surg Endosc 10 1150–1153 Occurrence Handle10.1007/s004649900268 Occurrence Handle1:STN:280:ByiC2srot1M%3D Occurrence Handle8939832

    Article  CAS  PubMed  Google Scholar 

  3. HJ Bonjer JF Lange G Kazemier WW De Herder EW Steyerberg HA Bruining (1997) ArticleTitleComparison of three techniques for adrenalectomy. Brit J Surg 84 679–682 Occurrence Handle10.1046/j.1365-2168.1997.02655.x Occurrence Handle1:STN:280:ByiA3MrnsF0%3D Occurrence Handle9171764

    Article  CAS  PubMed  Google Scholar 

  4. HJ Bonjer V Sorm FJ Berends G Kazemier EW Steyerberg WW De Herder HA Bruining (2000) ArticleTitleEndoscopic retroperitoneal adrenalectomy: lessons learned from 111 consecutive cases. Ann Surg 232 796–803 Occurrence Handle10.1097/00000658-200012000-00008 Occurrence Handle1:STN:280:DC%2BD3M%2FltVymsw%3D%3D Occurrence Handle11088074

    Article  CAS  PubMed  Google Scholar 

  5. JF Buell HR Alexander JA Norton KC Yu DL Fraker (1997) ArticleTitleBilateral adrenalectomy for Cushing’s syndrome: anterior versus posterior surgical approach. Ann Surg 225 63–68 Occurrence Handle10.1097/00000658-199701000-00007 Occurrence Handle1:STN:280:ByiC2M3hvV0%3D Occurrence Handle8998121

    Article  CAS  PubMed  Google Scholar 

  6. Y Chapuis S Chastanet B Dousset et al. (1997) ArticleTitleBilateral laparoscopic adrenalectomy for Cushing’s disease. Br J Surg 84 1009–1012 Occurrence Handle1:STN:280:ByiA1cvkvVA%3D Occurrence Handle9240152

    CAS  PubMed  Google Scholar 

  7. Y Chapuis B Inabnet B Abboud S Chastanet J Pitre B Dousset JP Luton (1998) ArticleTitleSurrénalectomie bilatérale vidéo-endoscopique dans la maladie de Cushing. Expérience chez 24 patients. Ann Chir 52 350–356 Occurrence Handle1:STN:280:DyaK1cvisFSgtA%3D%3D Occurrence Handle9752469

    CAS  PubMed  Google Scholar 

  8. Y Chapuis J Pitre F Conti B Abboud N Pras-Jude JP Luton (1996) ArticleTitleRole and operative risk of bilateral adrenalectomy in hypercortisolism. World J Surg 20 775–780 Occurrence Handle10.1007/s002689900118 Occurrence Handle1:STN:280:BymH38jit1Y%3D Occurrence Handle8678950

    Article  CAS  PubMed  Google Scholar 

  9. P Cougard JL Peix F Peschaud P Goudet (2001) ArticleTitlePancreatite aigue aprés surrénalectomie bilatérale laparoscopique pour sécrétion ectopique d’ACTH. Ann Chir 126 336–338 Occurrence Handle10.1016/S0003-3944(01)00516-8 Occurrence Handle1:STN:280:DC%2BD3MzltVOgsA%3D%3D Occurrence Handle11413814

    Article  CAS  PubMed  Google Scholar 

  10. QY Duh AE Siperstein OH Clark WP Schecter JK Horn MR Harrison TK Hunt LW Way (1996) ArticleTitleLaparoscopic adrenalectomy: comparison of the lateral and posterior approaches. Arch Surg 131 870–876 Occurrence Handle1:STN:280:BymA3MnosVA%3D Occurrence Handle8712912

    CAS  PubMed  Google Scholar 

  11. G Favia M Boscaro F Lumachi DF D’Amico (1994) ArticleTitleRole of bilateral adrenalectomy in Cushing’s disease. World J Surg 18 462–466 Occurrence Handle1:STN:280:ByqB2c3ns1A%3D Occurrence Handle7725729

    CAS  PubMed  Google Scholar 

  12. L Fernández-Cruz A Saenz G Benarroch E Astudillo P Taura L Sabater (1996) ArticleTitleLaparoscopic unilateral and bilateral adrenalectomy for Cushing’s syndrome. Ann Surg 224 727–736 Occurrence Handle10.1097/00000658-199612000-00008 Occurrence Handle1:STN:280:ByiC383pslw%3D Occurrence Handle8968227

    Article  CAS  PubMed  Google Scholar 

  13. L Fernandez-Cruz A Saenz G Benarroch L Sabater P Taura (1997) ArticleTitleTotal bilateral laparoscopic adrenalectomy in patients with Cushing’s syndrome and multiple endocrine neoplasia (IIa). Surg Endosc 11 103–107 Occurrence Handle10.1007/s004649900307 Occurrence Handle1:STN:280:ByiB383kvFc%3D Occurrence Handle9069136

    Article  CAS  PubMed  Google Scholar 

  14. L Fernandez-Cruz A Saenz P Taura G Benarroch E Astudillo L Sabater (1999) ArticleTitleRetroperitoneal approach in laparoscopic adrenalectomy. Is it advantageous? Surg Endosc 13 86–90 Occurrence Handle10.1007/s004649900907 Occurrence Handle1:STN:280:DyaK1M%2FovVeisQ%3D%3D Occurrence Handle9869699

    Article  CAS  PubMed  Google Scholar 

  15. FA Ferrer DC MacGillivray CD Malchoff DM Albala SJ Shichman (1997) ArticleTitleBilateral laparoscopic adrenalectomy for adrenocorticotropic-dependent Cushing’s syndrome. J Urol 157 16–18 Occurrence Handle10.1097/00005392-199701000-00006 Occurrence Handle1:STN:280:ByiC3s%2FksVY%3D Occurrence Handle8976205

    Article  CAS  PubMed  Google Scholar 

  16. M Gagner A Lacroix RA Prinz et al. (1993) ArticleTitleEarly experience with laparoscopic approach for adrenalectomy. Surgery 114 1120–1125 Occurrence Handle1:STN:280:ByuD2sfisFM%3D Occurrence Handle8256217

    CAS  PubMed  Google Scholar 

  17. R Hasan KL Harold BD Matthews KW Kercher RF Sing BT Heniford (2002) ArticleTitleOutcomes for laparoscopic bilateral adrenalectomy. J Laparoendosc Adv Surg Tech 12 233–236 Occurrence Handle10.1089/109264202760267989 Occurrence Handle1:STN:280:DC%2BD38votlylug%3D%3D

    Article  CAS  Google Scholar 

  18. JF Henry F Sebag M lacobone J Hubbard S Maweja (2002) ArticleTitleLecons retenues apres 274 surrenalectomies laparoscopiques. Ann Chir 127 512–519 Occurrence Handle10.1016/S0003-3944(02)00831-3 Occurrence Handle1:STN:280:DC%2BD38nks1ertQ%3D%3D Occurrence Handle12404845

    Article  CAS  PubMed  Google Scholar 

  19. THS Hsu IS Gill (2002) ArticleTitleBilateral laparoscopic adrenalectomy: retroperitoneal and transperitoneal approaches. Urology 59 184–189 Occurrence Handle10.1016/S0090-4295(01)01525-4 Occurrence Handle11834382

    Article  PubMed  Google Scholar 

  20. G Janetschek G Finkenstedt R Gasser et al. (1998) ArticleTitleLaparoscopic surgery for pheochromocytoma: adrenalectomy, partial resection, excision of paragangliomas. J Urol 160 330–334 Occurrence Handle10.1097/00005392-199808000-00008 Occurrence Handle1:STN:280:DyaK1czktlCltw%3D%3D Occurrence Handle9679871

    Article  CAS  PubMed  Google Scholar 

  21. E Kebebew AE Siperstein QY Duh (2001) ArticleTitleLaparoscopic adrenalectomy: the optimal surgical approach. J Laparoendosc Adv Surg Tech 11 409–413 Occurrence Handle10.1089/10926420152761941 Occurrence Handle1:STN:280:DC%2BD38%2Fos1Gluw%3D%3D

    Article  CAS  Google Scholar 

  22. R Lanzi F Montorsi M Losa A Centemero MF Manzoni P Rigatti G Cornaggia AE Pontiroli G Guazzoni (1998) ArticleTitleLaparoscopic bilateral adrenalectomy for persistent Cushing’s disease after transsphenoidal surgery. Surgery 123 144–150 Occurrence Handle10.1067/msy.1998.83643 Occurrence Handle1:STN:280:DyaK1c7kt1equg%3D%3D Occurrence Handle9481399

    Article  CAS  PubMed  Google Scholar 

  23. E Lezoche M Guerrieri F Feliciotti AM Paganini S Perretta M Baldarelli J Bonjer P Miccoli (2002) ArticleTitleAnterior, lateral, and posterior retroperitoneal approaches in endoscopic adrenalectomy. Surg Endosc 16 96–99 Occurrence Handle10.1007/s004640090043 Occurrence Handle1:STN:280:DC%2BD383isFGmtQ%3D%3D Occurrence Handle11961614

    Article  CAS  PubMed  Google Scholar 

  24. E Lezoche M Guerrieri AM Paganini F Feliciotti P Zenobi F Antognini F Mantero (2000) ArticleTitleLaparoscopic adrenalectomy by the transperitoneal approach. Surg Endosc 14 920–925

    Google Scholar 

  25. T Manger S Piatek S Klose D Kopf D Kunz H Lehnert H Lippert (1997) ArticleTitleBilaterale laparoskopische transperitoneale Adrenalektomie beim Phäochromozytom. Langenbecks Arch Chir 382 37–42 Occurrence Handle10.1007/s004230050020 Occurrence Handle1:STN:280:ByiB3c3ktlA%3D Occurrence Handle9157231

    Article  CAS  PubMed  Google Scholar 

  26. DS O’Riordain DR Farley WF Young CS Grant JA van Heerden (1994) ArticleTitleLong-term outcome of bilateral adrenalectomy in patients with Cushing’s syndrome. Surgery 116 1088–1093 Occurrence Handle1:STN:280:ByqD2snjs1M%3D Occurrence Handle7985092

    CAS  PubMed  Google Scholar 

  27. SJ Shichman CD Herndon RE Sosa et al. (1999) ArticleTitleLateral transperitoneal laparoscopic adrenalectomy. World J Urol 17 48–53 Occurrence Handle10.1007/s003450050104 Occurrence Handle1:STN:280:DyaK1M7psFyrtw%3D%3D Occurrence Handle10096151

    Article  CAS  PubMed  Google Scholar 

  28. AE Siperstein E Berber KL Engle QY Duh OH Clark (2000) ArticleTitleLaparoscopic posterior adrenalectomy: technical considerations. Arch Surg 135 967–971 Occurrence Handle10.1001/archsurg.135.8.967 Occurrence Handle1:STN:280:DC%2BD3cvhs12rtQ%3D%3D Occurrence Handle10922260

    Article  CAS  PubMed  Google Scholar 

  29. A Terai T Terachi T Inoue et al. (1997) ArticleTitleLaparoscopic adrenalectomy for bilateral pheochromocytoma: a case report. Int J Urol 4 300–303 Occurrence Handle1:STN:280:ByiA1MblsFc%3D Occurrence Handle9255671

    CAS  PubMed  Google Scholar 

  30. A Vella GB Thompson CS Grant JA van Heerden DR Parley WF Young (2001) ArticleTitleLaparoscopic adrenalectomy for adrenocorticotropin-dependent Cushing’s syndrome. J Clin Endocrinol Metab 86 1596–1599 Occurrence Handle1:CAS:528:DC%2BD3M**vVClu70%3D Occurrence Handle11297589

    CAS  PubMed  Google Scholar 

  31. MA Zeiger DL Fraker HI Pass LK Niemann GB Cutler GP Chrousos JA Norton (1993) ArticleTitleEffective reversibility of the signs and symptoms of hypercortisolism by bilateral adrenalectomy. Surgery 114 1138–1143 Occurrence Handle1:STN:280:ByuD2sfis1Q%3D Occurrence Handle8256220

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General and Abdominal Surgery, University Hospital of Mainz, 55101 Mainz , Germany

    E. Jäger, A. Heintz & T. Junginger

Authors
  1. E. Jäger
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Heintz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Junginger
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s00464-004-0081-6.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jäger, E., Heintz, A. & Junginger, T. Synchronous bilateral endoscopic adrenalectomy: experiences after 18 operations . Surg Endosc 18, 314–318 (2004). https://doi.org/10.1007/s00464-002-9243-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-9243-6

Keywords

Search

Navigation