Table 4.
Literature Outcome Data for Laparoscopic Adrenalectomy in Children
| Study | No. of Patients | Technique | No. of Bilateral LAs | Operating Time (min) | Conversion (%) | Blood Transfusion (%) | Postoperative Complications (%) | Hospital Stay (d) |
|---|---|---|---|---|---|---|---|---|
| de Barros et al17 | 7 | T | 0 | 138.6 | 14.3 | 14.3 | 0 | 2.9 |
| Lopes et al2 | 17 | T | 0 | 138.5 | 0 | 5 | 0 | 3.5 |
| St Peter et al18 | 140 | NS | 5 | 130.2* | 9.9 | 2.8 | 0.7 | NS |
| Sukumar et al13 | 7 | T | 3 | 111 U-LAs, 263 B-LAs | 0 | 0 | 14.3 | 5,3 |
| Eassa et al15 | 2 | R | 0 | 255 | 0 | 0 | 0 | 1.5 |
| Nerli et al1 | 18 | T | 0 | 95 | 0 | 0 | 0 | 2.1 |
| Lopez et al19 | 5 | R | 1 | 154† | 0 | — | — | — |
| Laje et al20 | 8 | T | 0 | 99 | 0 | 0 | 0 | 1.5 |
| Skarsgard et al11 | 20 | T | 0 | 101 | 5 | 0 | 0 | 1.5 |
| Saad et al21 | 6 | T | 0 | 149.2 | 0 | — | — | 5.7 |
| Kadamba et al22 | 10 | T | 1 | 141 U-LAs, 330 B-LAs | 20 | 0 | 0 | 5.5 |
| De Lagausie et al16 | 9 | T | 0 | 85 | 11.1 | 0 | 11.1 | 4.5 |
| Miller et al23 | 17 | T | 0 | 120 | 7.7 | 0 | — | 1.5 |
| Castilho et al9 | 13 | T | 1 | 107 U-LAs, 180 B-LAs | 15.4 | 7.7 | 0 | 5.5 |
| Our experience | 4 | T | 0 | 105 | 0 | 0 | 0 | 3.75 |
B-LA, bilateral laparoscopic adrenalectomy; NS, not specified; R, retroperitoneal approach; T, transperitoneal approach; U-LA, unilateral laparoscopic adrenalectomy.
The mean operative time for all cases, including combination procedures and B-LA, was 130.2 minutes (range, 43–406 minutes).
The median operative time was 154 minutes (range, 110–186 minutes), including the bilateral case (160 minutes).