Laparoscopic approach for adrenalectomy using a lateral position was firstly described by Gagner. This study has been performed to evaluate the procedure in comparison with the conventional surgery.23 laparoscopic adrenalectomies (12 for the right glande, 11 for the left) were performed between 1995 and 2003 in 13 females and 10 males ranging in age 32 and 73 years, Main indications were Cushing's syndrome, Conn's syndrome, small primary and metastatic tumor, A full lateral decubitus on the left side was used for right adrenalectomy whereas a right decubitus was used for the left adrenalectomy, The median surgical time was 110 minutes. No mortality occurred. Postoperative morbidity consisted of a left pleural effusionin four patients. The median hospital stay was 4 days.Laparoscopic adrenalectomy in latearl position is a safe procedure and combines the advantages to both anterior and posterior conventional approach.
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