Journals / Laparoscopic Endoscopic Surgical Science / 2018 / Cilt: 25 - Sayı: 1

Our experiences with laparoscopic transperitoneal adrenalectomy

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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 in13 cases, pheochromocytoma in 8 cases, adrenal cortical neoplasms in 4 cases, adrenal pseudocysts in4 cases, adrenal nodular hyperplasia in 3 cases, malignant oncocytoma in 1 case, and an adrenal corticalneoplasm containing metastasis foci in 1 case.Conclusion: We believe that transperitoneal laparoscopic adrenalectomy is a safe and effective method forthe treatment of adrenal masses if the adequate technical equipment, experience, and knowledge are present

📌 3 Key Takeaways

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Objective & Hypothesis: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).
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Key Findings & Data:Of the total, 18(35%) were male and 33 (65%) were female.
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Conclusion & Impact: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 in13 cases, pheochromocytoma in 8 cases, adrenal cortical neoplasms in 4 cases, adrenal pseudocysts in4 cases, adrenal nodular hyperplasia in 3 cases, malignant oncocytoma in 1 case, and an adrenal corticalneoplasm containing metastasis foci in 1 case.Conclusion: We believe that transperitoneal laparoscopic adrenalectomy is a safe and effective method forthe treatment of adrenal masses if the adequate technical equipment, experience, and knowledge are present
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Özet

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 aleft 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 was102.8±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 in13 cases, pheochromocytoma in 8 cases, adrenal cortical neoplasms in 4 cases, adrenal pseudocysts in4 cases, adrenal nodular hyperplasia in 3 cases, malignant oncocytoma in 1 case, and an adrenal corticalneoplasm containing metastasis foci in 1 case.Conclusion: We believe that transperitoneal laparoscopic adrenalectomy is a safe and effective method forthe treatment of adrenal masses if the adequate technical equipment, experience, and knowledge are present

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Cite This Article

GİRGİN, M., ÇAY, F. (2018). Our experiences with laparoscopic transperitoneal adrenalectomy. Laparoscopic Endoscopic Surgical Science, Cilt: 25 - Sayı: 1, 1–4. https://ajindex.com/articles/345144

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References (16)

  1. Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma. N Engl J Med 1992
  2. [CrossRef] 2. Pędziwiatr M, Matłok M, Kulawik J, Major P, Budzyński P, ZubPokrowiecka A, et al. Laparoscopic adrenalectomy by the lateral transperitoneal approach in patients with a history of previous abdominal surgery. Wideochir Inne Tech Maloinwazyjne 2013
  3. 146–51. [CrossRef] 3. Del Pizzo JJ. Transabdominal laparoscopic adrenalectomy. Curr Urol Rep 2003
  4. 4(1):81–6. [CrossRef] 4. McKinlay R, Mastrangelo MJ Jr, Park AE Laparoscopic adrenalectomy: indications and technique. Curr Surg 2003
  5. 145–9. [CrossRef] 5. Chen B, Zhou M, Cappelli MC, Wolf JS Jr. Port site, retroperitoneal and intra-abdominal recurrence after laparoscopic acrenalectomy for apparently isolated metastasis. J Urol 2002
  6. 2528–9. [CrossRef] 6. Heniford BT, Iannitti DA, Gagner M. Laparoscopic adrenalectomy. In: Cerney JC, editor. The Adrenal. editor, New. York: Igaku-Shoin Medical Publishers Inc.
  7. p. 165-81. 7. Hisano M, Vicentini FC, Srougi M. Retroperitoneoscopic adrenalectomy in pheochromocytoma. Clinics (Sao Paulo) 2012
  8. 67 Suppl 1:161–7. [CrossRef] 8. Smith CD, Weber CJ, Amerson JR. Laparoscopic adrenalectomy: new gold standard. World J Surg 1999
  9. 389–96. 9. Carnaille B. Adrenocortical carcinoma: which surgical approach? Langenbecks Arch Surg 2012
  10. 195–9. [CrossRef] 10. Bhat HS, Nair TB, Sukumar S, Saheed CS, Mathew G, Kumar PG. Laparoscopic adrenalectomy is feasible for large adrenal masses>6 cm. Asian J Surg 2007
  11. 52–6. [CrossRef] 11. Gill IS, Meraney AM, Thomas JC, Sung GT, Novick AC, Lieberman I. Thoracoscopic transdiaphragmatic adrenalectomy: the initial experience. J Urol 2001
  12. 1875–81. [CrossRef] 12. Duh QY, Siperstein AE, Clark OH, Schecter WP, Horn JK, Harrison MR, et al. Laparoscopic adrenalectomy. Comparison of the lateral and posterior approaches. Arch Surg 1996
  13. [CrossRef] 13. Greco F, Hoda MR, Rassweiler J, Fahlenkamp D, Neisius DA, Kutta A, et al. Laparoscopic adrenalectomy in urological centres - the experience of the German Laparoscopic Working Group. BJU Int 2011
  14. 1646–51. [CrossRef] 14. Strebel RT, Müntener M, Sulser T. Intraoperative complications of laparoscopic adrenalectomy. World J Urol 2008
  15. 555–60. [CrossRef] 15. Park HS, Roman SA, Sosa JA. Outcomes from 3144 adrenalectomies in the United States: which matters more, surgeon volume or specialty? Arch Surg 2009
  16. 1060–7. 16. Assalia A, Gagner M. L