The aim. To evaluate the results of clinical application of laparoscopic surgery in patients with tumors of the adrenal glands in a specialized Clinic of Endocrine Surgery, to estimate risks and obstacles of laparoscopic adrenalectomy and ways to overcome them.
Materials and methods. More than 700 laparoscopic adrenalectomies (LA) were performed in the specialized endocrine surgery clinic from 2003 to 2014 years comparing with 209 open operations.
Results. Comparative studies have shown the main advantages of LA against open approaches (lumbotomy, laparotomy): reduction of blood loss, pain, rates of early and late complication (from 12 to 0.9% and from 23 to 0.5% correspondingly), mortality (from 3 to 0.1%), operation time, term of hospital stay, time of recovery.
Conclusions. Huge experience demonstrates feasibility and safety of LA even in case of peritoneal adhesions, large tumors, primary and metastatic non-invasive malignancy, bilateral lesions, need for adrenal resections.