[Does the size of XXXX influence the results of its laparoscopic excision?].

@entity1 @entity101 @entity6531 @entity1911 @entity5 @entity6533
BACKGROUND: The @entity5 size is considered as a limitation for laparoscopic adrenalectomy. The aim of this study was to assess diagnostic characteristics, hemodynamic modifications, and outcome of intraperitoneal laparoscopic adrenalectomy according to the size of @entity1911 . METHODS: Retrospective study from January 1997 to December 2000. Results were evaluated according to the size of pathologic study (< or > or = 5 cm). RESULTS: Forty two @entity1 underwent laparoscopic adrenalectomy during this period. Among them, 11 (26%) were operated on for @entity1911 (6 @entity1 < 5 cm and 5 @entity1 > or = 5 cm). Preoperative systolic @entity101 was 138 mmHg and 178 mmHg respectively (p = 0.01). Urinary @entity6533 / @entity6531 rate was 1.259 and 0.268 respectively (p = 0.08). Capsular @entity5 effraction rate was 27%. @entity5 size was 37% larger than that estimated by CT scan (24% versus 52%). Mean hospital stay was 10 days and 8 days respectively. Morbidity and mortality were 18% and 0%. All these criteria were not statistically significant among the two groups of @entity1 . CONCLUSIONS: @entity1911 size > or = 5 cm do not modify outcome of @entity1 but is responsible for preferential noradrenaline secretion and stronger hemodynamic modifications. @entity5 fragmentation rate and CT scan size underestimation seem important in this group of @entity1 . These characteristics have to be integrated to improve laparoscopic adrenalectomy outcome of @entity1 with @entity1911 > or = 5 cm.
