Abstract：Objective:To evaluate the safety and feasibility of laparoscopic bilateral simultaneous adrenalectomy for the treatment of the bilateral adrenal tumors. Methods:In this study, 17 cases of bilateral adrenal tumors underwent laparoscopic bilateral simultaneous adrenalectomy. The preoperative characteristics, the outcomes and complications were analyzed. Results:Three cases received bilateral total adrenalectomy, 7 cases received bilateral partial adrenalectomy, and 7 cases received total adrenalectomy in one side and partial adrenalectomy in the opposite side. The average operating duration was 136 min (range: 105 to 185 min), average blood loss was 125 mL (88-260 mL) and average postoperative hospital length of stay was 7 days (range: 5-8 days). Wound infection occurred in one case. Three patients subject to bilateral total adrenalectomy were given postoperative lifelong steroid replacement. During an average follow-up period of 16 months (range: 3-36 months), all cases were cured. Conclusions:Laparoscopic bilateral simultaneous adrenalectomy is safe and effective for the treatment of bilateral adrenal tumors.
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