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Laparoscopic Adrenalectomy: First Single-Center Experience in the Balkans
Summary
Laparoscopic adrenalectomy (LA) is a superior surgical approach compared to open adrenalectomy (OA) for adrenal masses, offering reduced blood loss and shorter hospital stays. This minimally invasive technique demonstrates significant clinical advantages for patients.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Endocrinology
Background:
- Laparoscopic adrenalectomy (LA) is increasingly preferred for adrenal masses.
- This study evaluates initial LA experiences and compares outcomes with open adrenalectomy (OA).
Observation:
- A retrospective analysis of 35 patients undergoing LA over 12 years.
- Four cases required conversion to OA due to bleeding.
- A case of laparoscopic splenectomy for splenic artery aneurysm is also presented.
Findings:
- LA resulted in less blood loss, shorter operating times, and reduced hospital stays compared to OA.
- Patients experienced faster resumption of oral intake and less need for analgesics.
- No tumor recurrence or metastasis was observed during follow-up.
Implications:
- Laparoscopic adrenalectomy offers significant clinical benefits over open procedures.
- This supports LA as a safe and effective treatment for adrenal pathologies.
- Further research can explore long-term outcomes and expand indications.
