Adrenalectomy via the dorsal approach: a benchmark for laparoscopic adrenalectomy.

Abstract

We reviewed our experience with posterior surgical excision of aldosteronomas. A retrospective review identified 40 consecutive cases performed by 1 surgeon. Mean patient age was 46 years and mean blood loss was 237 cc. There was no perioperative mortality or intraoperative complications. Times to unassisted ambulation and return to a normal diet were 2.2 and 2.4 days, respectively, with a mean postoperative hospital stay of 4.4 days. The removal of aldosteronomas via the dorsal approach is a safe reliable technique with acceptable morbidity. These results provide a benchmark by which the results of laparoscopic adrenalectomy may be judged.