Outcomes of Adrenalectomy for Adrenal Metastasis – An Uncommon Indication for Adrenalectomy

Introduction: The role of resection of adrenal metastases (mets) in the laparoscopic (Lap) era is controversial. The purpose of this study was to review our results with adrenalectomy for mets in a series of consecutive patients.
Methods: The records of all patients who underwent adrenalectomy for suspected adrenal metastasis at our institution from 1993-2007 were reviewed retrospectively. Lap cases converted to open were included in outcomes for open cases. Data are mean ± SD and statistical analysis was by two-tailed t test.
Results: Of 300 patients who underwent adrenalectomy, 21 (7.0%) had suspected adrenal metastasis preoperatively or on final pathology. Mean patient age was 54 ± 13 yrs (24-72 yrs) and the most common primary cancer sites were lung (N=9) and melanoma (N=4). The side of lesion was right in 6 and left in 15. Surgical approach was open in 5 cases and laparoscopic in 16. Two open cases were done concomitantly with resection of other disease (1 primary colon cancer and 1 duodenal melanoma met). Lap cases were converted to open in two cases and to hand-assist in two. Mean tumor size was 4.3 ± 2.4cm (1-9cm). Mean operative time in lap cases was 207 ± 89 min vs 172 ± 49 open (p=NS). Postoperative length of stay was 2.4 ± 1.9 days in Lap and 5 ± 2.2 days in open cases (p

Session: Poster

Program Number: P405

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