Laparoscopic transperitoneal surgery for adrenal cysts

Introduction: Adrenal cysts are uncommon lesions with an incidence ranging from 0.064% to 0.18 %. Adrenal cysts are detected more commonly in the present times due to widespread use of imaging modalities. We present our technique of laparoscopic adrenal cyst excision. Methods & Materials: Two patients with large adrenal cysts underwent laparoscopic transperitoneal excision. The size of the cysts was 6cm x 8cm and 15cm x 16cm, respectively. The cysts were first aspirated through 5mm suction to provide more space for dissection. Results: The cysts were completely removed. Operative time was 190 and 170 minutes. Blood loss was 100 and 70 ml. Hospital stay was 2 days for both patients. Pathological examination showed that they were epithelial adrenal cysts--a histopathological rarity. Conclusion: Adrenal epithelial cysts are rarely encountered pathological entities. Laparoscopic dissection is a good treatment option for large adrenal cysts. Intracystic laparoscopic fluid aspiration helps in decreasing the size of cyst thus facilitating easy port placement, dissection and organ retrieval. This technique of meticulous aspiration of fluid is thus of immense help in laparoscopic surgery. Keywords: Adrenalectomy, Epithelial adrenal cyst, Laparoscopy
Table of Contents Abstract Introduction Patients And Methods Results Discussion Conclusion References Introduction Adrenal cysts are uncommon lesions. They are usually asymptomatic or without a characteristic symptom. The incidence in [...]