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Richard D. Schulick, MD

Arch Surg. 2005;140:909.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Skarsgard and Albanese retrospectively review their experience at 2 university hospitals over a 5-year period. They report the largest series, consisting of 20 pediatric patients who underwent a total of 21 attempted LAs. Of note, 14 of the resected adrenal glands had benign disease (5 adrenal hyperplasia, 4 nonfunctioning adenoma, 4 ganglioneuroma, and 1 functioning adenoma), 6 had malignant disease (5 neuroblastoma and 1 adrenocortical carcinoma), and 1 had potentially malignant disease (pheochromocytoma).

They have nicely demonstrated that LA can be performed with relative short operating times, low conversion rates (1 of 21 cases), minimal to no perioperative complications, and no operative mortality in the pediatric population. However, their conclusion that "Laparoscopic adrenalectomy can be used to safely treat suspected benign and selected malignant adrenal masses in children" has not been absolutely proven.

Laparoscopic adrenalectomy has become the "gold-standard" approach for benign or likely benign disease . . . [Full Text of this Article]

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