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Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2020 / Cilt: 54 - Sayı: 1

Laparoscopic Approach to the Adrenal Masses: Single-Center Experience of Five Years

Mehmet KÖSTEK
Nurcihan AYGÜN
Mehmet ULUDAĞ
Pages
52–57
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Intraoperative and postoperative complications were bleeding from spleen (2 cases) and upper pole of kidney (1 case), renal artery injury (1 case), bleeding fromliver 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.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Currently, laparoscopic adrenalectomy is the gold standard technique for suitable patients with adrenal masses.
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Key Findings & Data:In thisstudy, 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.
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Conclusion & Impact:Intraoperative and postoperative complications were bleeding from spleen (2 cases) and upper pole of kidney (1 case), renal artery injury (1 case), bleeding fromliver 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.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: Currently, laparoscopic adrenalectomy is the gold standard technique for suitable patients with adrenal masses. In thisstudy, 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 adrenalcortical 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 fromliver 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.

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Cite This Article

KÖSTEK, M., AYGÜN, N., ULUDAĞ, M. (2020). Laparoscopic Approach to the Adrenal Masses: Single-Center Experience of Five Years. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 54 - Sayı: 1, 52–57. https://ajindex.com/articles/355049

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