Laparoscopic Adrenalectomy at HTAR?

Fat hopes!!!
The value of a laparoscopic approach to the adrenal, or suprarenal, gland in children with neuroblastoma has not been established. Therefore, 6 girls and 3 boys aged 2 months to 9 years underwent laparoscopic adrenalectomy for neuroblastoma at a single center. All procedures were performed via a 4- or 5-trocar transperitoneal approach. Tumors were mobilized, placed in a plastic bag, and removed through the umbilical trocar site. Mean surgical time was 85 min; blood loss was <100 mL. Complete resection was impossible in 1 boy with renal-vessel adhesions, even after conversion to open surgery. All tumors were well-encapsulated peripheral neuroblastomas. The only complication was an umbilical-port site infection in 1 patient. Mean hospital stay was 4.5 days; normal eating resumed within 2 days of surgery. Except for the incompletely resected patient, who had local recurrence at 7 months, all patients had no evidence of recurrence at mean follow-up of 15 months.
Laparoscopic adrenalectomy can be performed safely in children.