Laparoscopic resection of giant adrenal malignant tumors, a case series and review of the literature

Konstantinos Sapalidis, Christoforos Kosmidis, Dimitrios Giannakidis, Varvara Fyntanidou, Anastasios Barmpas, Paul Zarogoulidis, Athanasios Katsaounis, Charilaos Koulouris, Nikolaos Michalopoulos, Aikaterini Amaniti, Zoi Aidoni, Stelian Mogoanta, Michael Karanikas, Panagoula Oikonomou, Konstantinos Romanidis, Anastasios Vagionas, Alexandru Marian Goganau, Alexandru Munteanu, Valeriou Surlin, Isaak Kesisoglou

Abstract

Laparoscopic approach for suspected adrenal malignancies remains a controversial issue and it gets more controversial, when managing giant adrenal malignant tumors. The aim of this paper is to present five cases of patients with giant adrenal malignant tumors that underwent laparoscopic transabdominal lateral adrenalectomy in our department between 2010 and 2017. Literature is also reviewed in order to investigate the feasibility of laparoscopic resection in these cases.