LAPAROSCOPIC UNROOFING OF ADRENAL CYSTS

Objectives: This study was aimed to demonstrate the feasibility of lap aroscopic conservative surgery of the adrenal gland in the treatment o f adrenal cysts. Methods: Two cases of laparoscopic decortication of s ymptomatic adrenal cysts with preservation of the adrenal parenchyma a re presented. Results: Surgery was uneventful in both cases and patien ts returned to preoperative activity within 10 days from the operation . At the 3-month follow-up, computerized tomography demonstrated the a bsence of any cystic recurrence and adrenal endocrine function was nor mal. These findings were confirmed at the 1-year follow-up by ultrason ography. Conclusions: Symptomatic adrenal cysts can be effectively and safely treated by laparoscopic unroofing, a minimally invasive proced ure which leaves the nondiseased adrenal parenchyma intact.