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Transperitoneal laparoscopic adrenalectomy: five years' experience with 35 patients
Altuğ Tuncel1, Melih Balcı1, Ersin Köseoğlu1
1Third Department of Urology, Ministry of Health, Ankara Numune Research and Training Hospital, Ankara, Turkey.
Turkish Journal of Urology
|September 2, 2015
Summary
Laparoscopic adrenalectomy for adrenal masses is safe and effective. This minimally invasive approach offers low complication rates for patients requiring adrenal surgery.
Area of Science:
- Minimally Invasive Surgery
- Endocrinology
- Surgical Oncology
Background:
- Adrenal masses require surgical intervention.
- Laparoscopic adrenalectomy is an emerging minimally invasive technique.
Purpose of the Study:
- To evaluate the safety and efficacy of transperitoneal laparoscopic adrenalectomy for adrenal masses.
- To report surgical outcomes and histopathological findings.
Main Methods:
- A retrospective review of 35 patients undergoing transperitoneal laparoscopic adrenalectomy between January 2008 and February 2013.
- Patients underwent hormonal evaluation and imaging (MRI/CT).
- Surgical outcomes including operative time, blood loss, and complications were recorded.
Main Results:
- 35 transperitoneal laparoscopic adrenalectomies were performed.
- The mean operative time was 94.7 minutes with minimal blood loss (30 cc).
- No major complications occurred; one conversion to open surgery was noted. Histopathology revealed diverse adrenal pathologies.
Conclusions:
- Transperitoneal laparoscopic adrenalectomy is a safe and efficient minimally invasive treatment for adrenal masses.
- The procedure is associated with a low morbidity rate.
- This technique provides a viable surgical option for adrenal mass management.
