S urgical approach to the adrenal masses is an important challenge for surgeons and decision making for operative strategy is critical for patient safety and prognosis. A surgeon should decide how to manage an adrenal mass considering the patient's general performance, size of the adrenal mass, presence of malignancy, previous operation history of the patient and his own surgical skills. [1] Although open adrenalectomy is a standard procedure, minimally invasive techniques become increasingly widespread, such as laparoscopic adrenalectomy, which has be-come a gold standard technique since its definition in 1992 by Gagner et al. [2][3][4] Robotic or laparoscopic techniques and transabdominal or posterior retroperitoneal approach can be applied to the patient considering the surgeon's experience and characteristics of adrenal masses. [5] Malignant adrenocortical tumors are the main cases for open surgery to avoid the dissemination of cancer. [1,6] Tumor size is important for decision making, but there is no consensus for open surgery indication. Laparoscopic adrenalectomy has superiority over open adrenalectomy con-Objectives: Currently, laparoscopic adrenalectomy is the gold standard technique for suitable patients with adrenal masses. In this study, we aimed to assess the postoperative results of patients who underwent laparoscopic adrenalectomy. Methods: Between January 2014 and October 2019, 76 cases were operated and retrospectively evaluated. Laparoscopic transabdominal adrenalectomy was applied to the patients. Demographic profiles, preoperative indications, intraoperative and postoperative complications, mortality and length of hospital stay were evaluated. Results: Seventy-six patients (30 male, 46 female) with a mean age of 47.2±11.7 (range 22-71) years underwent laparoscopic adrenalectomy. Thirty-nine of the patients had right; 33 of the patients had left adrenal masses. Three patients had bilateral adrenal cortical hyperplasia. One patient was operated for paraganglioma. Conversion to open adrenalectomy was observed in four patients (5.26%). Nine patients (11.8%) experienced intraoperative and postoperative complications. Intraoperative and postoperative complications were bleeding from spleen (2 cases) and upper pole of kidney (1 case), renal artery injury (1 case), bleeding from liver parenchyma (2 cases), ischemia of spleen and pancreas (1 case), small intestinal injury (1 case) and incisional hernia (1 case). The complication rate is acceptable and comparable with other studies in the literature. Conclusion: Laparoscopic adrenalectomy can be safely applied in suitable patients with acceptable complications and low conversion rates.
