In 1 patient a recurrent pheochromocytoma was found in the contralateral adrenal following previous right adrenalectomy. Of the patients 14 had solitary tumors, and 4 presented with bilateral pheochromocytomas and 1 or 2 additional paragangliomas. We report our experience using laparoscopy for these procedures.Materials and Methods: Between June 1992 and November 1997, 19 patients underwent laparoscopic surgery for pheochromocytoma. These findings may change as more cases are performed robotically assisted and robotic technology improves.read more read lessĪbstract: Purpose: Surgical treatment of pheochromocytoma includes adrenalectomy, adrenal sparing surgery and excision of extraadrenal paragangliomas. The overall benefit for RA remains small and higher total charges for RA may currently outweigh the benefits. Only 22% of adrenalectomies were performed robotic-assisted in 2009 compared with 48% in 2012. There was a significant trend towards more adrenalectomies being performed robotic assisted by year. The mean length of stay was shorter in the RA group (2.2 versus 1.9 days, p = 0.03). There was no difference in complication and conversion rates between RA versus LA. Hospital volume, bed size and teaching status of the hospital were not significant factors in the decision of RA versus LA. Patients living in the highest income areas were more likely to receive the laparoscopic approach (31.7 versus 17.4%, p < 0.0001). Insurance type predicted procedure type (45% of medicare patients underwent RA versus 29% of patients with private insurance, p < 0.0001). Patient age group, gender, race, risk of mortality, severity of illness or indication for adrenalectomy did not differ significantly between the LA or RA cohorts. A total of 1006 patients (66.4% in LA group and 33.6% in RA group) were identified. Univariate analysis and propensity matching were performed to look for differences between the groups. All patients undergoing LA or RA from January 2009 to December 2012 were included. Patient data were collected from the NIS. The aim of this study was to explore differences in short-term outcomes between LA and RA using the national inpatient sample (NIS) database. Recently, robotic-assisted adrenalectomy (RA) has become an option, however, short-term outcomes for RA have not been well studied and benefits over LA are debatable. Abstract: Laparoscopic adrenalectomy (LA) has become the standard treatment of adrenal lesions.

Adrenal mass on kidney