AI Summary & Key Takeaways
AI InsightConclusion: Transperitoneal laparoscopic adrenalectomy is a safe and minimally invasive method for the treatment of adrenal masses with its low morbidity.
📌 3 Key Takeaways
Abstract
Objective: To present our laparoscopic surgery experiences on the treatment of adrenal masses. Materials and methods: We retrospectively evaluated 33 cases of laparoscopic transperitoneal adrenalectomy performed in 21 female and 12 male patients (mean age 49.3±11.8; range 21-72 years) between March 2004 and March 2009. Adrenalectomy side was right in 15 patients, left in 17 patients, and bilateral in 1 patient. Mean mass size was 35.9±13.8 (range 23-80) mm. Results: No conversion to open surgery was needed. Mean operation time was 151±50.8 (range 80-330) minutes and mean blood loss was 47±15.4 (range 30-100) mL. In one case distal pancreatic injury was experienced intraoperatively. No other major complication was seen. Mean of hospital stay was 3.2±1.8 (range 1-10) days and mean follow-up period was 14.1±10.9 (range 1-46) months. No postoperative early or delayed complication was experienced. Pathological evaluation revealed adenoma in 23, adrenocortical hyperplasia in 2, pheochromocytoma in 5, adrenocortical cancer in 1, metastatic adenocarcinoma in 1, and oncocytoma in 1 patients. Conclusion: Transperitoneal laparoscopic adrenalectomy is a safe and minimally invasive method for the treatment of adrenal masses with its low morbidity.
Özet
Amaç: Adrenal kitlelerin tedavisinde laparoskopik cerrahi deneyimimizin sunulması. Gereç ve yöntem: Mart 2004 ile Mart 2009 tarihleri arasında yapmış olduğumuz ortalama yaşı 49.3±11.8 (dağılım 21-72) olan, 21’i kadın 12’si erkek 33 adrenalektomi olgusunu retrospektif olarak inceledik. Onbeş olguda sağ, 17 olguda sol ve 1 olguda ise bilateral adrenalektomi uygulandı. Ortalama kitle boyutu 35.9±13.8 (dağılım 23-80) mm idi. Bulgular: Açık cerrahiye geçiş gerekmedi. Olguların ortalama operasyon süresi 151±50.8 (dağılım 80-330) dk ve ortalama kan kaybı 47±15.4 (dağılım 30-100) mL olarak ölçüldü. Bir olguda intraoperatif distal pankreas yaralanması gelişti. Bunun dışında majör bir komplikasyon izlenmedi. Olguların hastanede ortalama kalış süresi 3.2±1.8 (dağılım 1-10) gün ve ortalama takip süresi 14.1±10.9 (dağılım 1-46) aydır. Postoperatif erken veya geç komplikasyon izlenmedi. Patolojik olarak 23 olguda adenom, 2 olguda adrenokortikal hiperplazi, 5 olguda feokromasitoma, 1 olguda adrenokortikal kanser, 1 olguda metastatik adenokarsinom ve 1 hastada onkositom saptandı. Sonuç: Transperitoneal laparoskopik adrenalektomi, adrenal kitlelerin tedavisinde düşük morbiditesiyle güvenli ve minimal invazif bir yöntemdir.