{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T12:24:20Z","timestamp":1746447860446},"reference-count":34,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2022,3,2]]},"abstract":"<jats:p>&lt;b&gt;   Introduction:&lt;\/b&gt; Laparoscopic adrenalectomy is more widely recognized as a valuable treatment method for benign and malignant tumours. &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;Aim:&lt;\/b&gt; This study reviews over 20-year experience with laparoscopic adrenalectomy in children in Central-West Poland. &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;Materials and methods:&lt;\/b&gt; During the last 21 years, 5041 laparoscopic procedures were performed, among them 39 adrenalectomies in children aged from 2 days to 17 years. The following data were analysed: patient's age at diagnosis and surgery, lesion volume in CT\/MRI examination, duration of surgery, the incidence of complication after surgery, and length of hospitalization. &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;Results:&lt;\/b&gt; The volume of adrenal lesion visualized by CT or MRI before surgery varied from 0.5 cm3 up to 490 cm3, with a median of 14 cm3. As many as 80% of adrenalectomies allowed radical removal of the lesion and 92% of those procedures were performed without any complications. From all data analysed, only age, both at diagnosis and at surgery, was significantly lower in patients with a malignant lesion. &lt;\/br&gt;&lt;\/br&gt; &lt;b&gt;Conclusions:&lt;\/b&gt; Laparoscopic  adrenalectomy  is  a  valuable  method  to  use  in  paediatric  patients  for  both  benign  and  malignant  adrenal lesions. However, in patients with malignant adrenal lesions it may be expected that the procedure will be more difficult due to the lower age and larger lesion size.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0015.7783","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T11:23:54Z","timestamp":1654773834000},"page":"46-53","source":"Crossref","is-referenced-by-count":3,"title":["Are There Any Limiting Factors of Minimally Invasive Adrenalectomy in Children?  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