We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

A Comparison of Laparoscopic and Open Adrenalectomies

Richard A. Prinz, MD
Arch Surg. 1995;130(5):489-494. doi:10.1001/archsurg.1995.01430050039006.
Text Size: A A A
Published online


Objective:  To compare the relative merits of conventional transabdominal and posterior methods with a laparoscopic approach for adrenalectomy.

Design:  A retrospective cohort study of consecutive series of patients having unilateral adrenalectomy for lesions less than 10 cm in diameter.

Setting:  University hospital.

Patients:  Ten patients who underwent laparoscopic adrenalectomy; 11, transabdominal adrenalectomy; and 13, posterior adrenalectomy.

Main Outcome Measures:  Operative time, estimated blood loss, length of hospital stay, and postoperative parenteral analgesic need.

Results:  There was no significant difference in the operative time for laparoscopic and anterior adrenalectomy (mean±SD, 212±77 minutes vs 174±41 minutes), but the time for posterior adrenalectomy was significantly shorter (139±36 minutes) (P<.01). The mean (±SD) hospital stay after laparoscopic removal (2.1 ±0.9 days) was significantly shorter than the stay after anterior (6.4±1.5 days) and posterior (5.5±2.9 days) adrenalectomy. The postoperative need for parenteral pain medication as measured by the number of doses and the total milligrams of meperidine hydrochloride administered was significantly less with laparoscopic adrenalectomy compared with either open procedure (P<.0001).

Conclusions:  Laparoscopic adrenalectomy may take longer to perform than conventional open approaches but it has clear-cut advantages in shortening postoperative hospital stay and lessening postoperative analgesic requirements. It may be the preferred method for most patients requiring adrenalectomy.(Arch Surg. 1995;130:489-494)


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.