Left Retroperitoneoscopic Adrenalectomy: About Two Cases

Benign adrenal pathology is rare in children. The authors report on two cases of retroperitoneoscopic adrenalectomy. The first case was a 17-month-old girl weighing 2300 g with clinical hypercortisolism and a normal gland on ultrasonography. The suspected diagnosis was an adrenal hyperplasia. The second case was a 7-year-old girl with hyperaldosteronism and virilism and the diagnosis of a left 25-mm adrenal adenoma on ultrasonography. In both cases, retroperitoneoscopic adrenalectomy was performed in a right lateral position. We used four trocars. A 7- or 10-mm telescope was introduced by a minilumbotomy under the tip of the 12th rib. The retroperitoneal space was created with the telescope and by insufflating CO2 gas at a pressure of 8 mm Hg. Three other 3- and 5-mm trocars were introduced: one above the iliac crest, one at the costospinal angle, and one under the 11th rib to retract the kidney. The dissection went behind the kidney toward the adrenal gland at the upper pole. The adrenalectomy was perfor...