Laparoscopic transperitoneal adrenalectomy: Our initial results

Abstract

Objective: To present the frst 24 laparoscopic adrenalectomies performed in our clinic because of an adrenal mass. Material and methods: The medical fles of 24 patients who underwent laparoscopic adrenalectomy between December 2008 and March 2013 at Haseki Teaching and Research Hospital were analyzed retrospec- tively. The demographic characteristics of the patients were recorded. Lateral transperitoneal laparoscopic adrenalectomy was performed in all patients. The operation time was defned as the interval between the frst incision of the skin and closure of the skin. Intraoperative complications, estimated blood loss and hos - pital stays of the patients were evaluated. Final pathologies were recorded. Results: The mean age of the patients was 44.2±8.58 years (range: 29-66 years). Nine patients were female and 15 were male. A total of 24 masses were identifed in the right (n=11), and left (n=13) adrenal glands masses were identifed., Eighteen patients (75%) had no symptoms, and the masses were identifed inciden - tally. The mean operation time was 144±46.1 minutes (range: 90-320 minutes), and the mean blood loss was 74±12.3 mL (range: 50-130 mL). None of the patients required a blood transfusion. In one patient, liver injury was identifed intraoperatively due to traction. The mean duration of hospitalization was 2.9±1.1 days (range: 2-5 days). Adrenocortical adenoma and pheochromocytoma were the most common pathologies. Conclusion: Laparoscopic adrenalectomy is a safe and effective method for the treatment of adrenal masses with low complication rates.