Our Experiences With Laparoscopic Transperitoneal Adrenalectomy

Abstract

Introduction: The aim of this study was to evaluate the outcomes of laparoscopic transperitoneal adrenalectomy cases from our clinic. Materials and Methods: Laparoscopic transperitoneal adrenalectomy was performed on 51 patients between January 2010 and September 2017. Results: The mean age of the 51 patients was 53.81±14.006 years (range: 31-76 years). Of the total, 18 (35%) were male and 33 (65%) were female. A right adrenalectomy was performed in 30 cases (59%) and a left adrenalectomy in 21 cases (41%). All of the patients were operated on with a laparoscopic transperitoneal approach. Four patients experienced peroperative hemorrhage; however, hemostasis was achieved. There was no conversion to an open procedure in any of the patients. No hemorrhage requiring transfusion or other major complications developed postoperatively. The mean duration of the operation was 102.8±21.6 minutes (range: 50-170 minutes). The mean tumor size was 3.8±2.6 cm (range: 2-12 cm) based on pathology specimens. The mean duration of hospital stay was 2.61±0.8 days (range: 2-6 days). The pathology results of the cases revealed surrenal adenomas in 17 cases, adrenal cortical adenomas in 13 cases, pheochromocytoma in 8 cases, adrenal cortical neoplasms in 4 cases, adrenal pseudocysts in 4 cases, adrenal nodular hyperplasia in 3 cases, malignant oncocytoma in 1 case, and an adrenal cortical neoplasm containing metastasis foci in 1 case. Conclusion: We believe that transperitoneal laparoscopic adrenalectomy is a safe and effective method for the treatment of adrenal masses if the adequate technical equipment, experience, and knowledge are present.

Adrenal kitlelerde laparaskopik ve açık cerrahi tekniklerin sonuç açısından karşılaştırılması

“…The adrenal glands are organs located in the retroperitoneum on the anterosuperior and medial sides of the kidneys 1 . Adrenal gland surgery is difficult and risky due to its relationship with the aorta, vena cava and kidney vessels 2 . Surrenal masses are pathologies with a high risk of malignancy and may present with different clinical, laboratory and radiological data.…”

“…In recent years, decreased analgesic need, less bleeding, lower complication rates and shorter hospital stay have been reported in LA compared to conventional surgery. Laparoscopic approach has become the gold standard 2,[9][10][11][12] .…”