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11–14 APRIL, 2018, HELSINKI, FINLAND
MATERIAL AND METHODS
Retrospective cases from 2012 and June 2017 of patients with adrenal tumors removed by prono
retroperitoneoscopy.
RESULTS
There were 4 patients with a mean age of 12 months (8,6), with solid lesion in adrenal gland with
a mean diameter of 3,7 cm (0,49), 3 left 1 right, all of them with diagnosis of neuroblastoma. All pa-
tients were positioned fully prone. The retroperitoneal space was created using the Gaur technique,
1 optical port and 2 working ports were used. With blunt dissection and diathermy the adrenal was
exposed and the vessels identified, they are individual divided either with clips or a vessel sealing
device. The tumor was removed complete with a specimen retrieval system. Mean surgery time was
170 min (30,5). There was one case of capsule rupture, and no reconversions. No postoperative
complications. The mean postoperative LOS was 2,3 (0,96) days. All lesions were margin free and
none required adjuvant chemotherapy. The mean follow up was 17 months (24,6); there have been
no recurrence, and an overall survival of 100 %.
CONCLUSIONS
Retroperitoneoscopic adrenalectomy is a feasible procedure, in selected cases it can be used to
safely treat benign and malignant adrenal masses in children with minimal morbidity and a shorter
hospital stay.
08:40–08:52
Discussion