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Laparoscopic Versus Open Adrenalectomy: a Retrospective Comparative Study
Talal Al-Jalabneh1, Omar Al-Shawabkeh1, Ibrahim Al-Gwairy1
1Laparoscopic and Bariatric Surgery, Department of Surgery, Royal Medical Services, Amman, Jordan.
Medical Archives (Sarajevo, Bosnia and Herzegovina)
|May 20, 2021
Summary
Laparoscopic adrenalectomy offers reduced operative time, blood loss, and hospital stay compared to open surgery. Tumor size and malignancy are no longer absolute contraindications for laparoscopic adrenal procedures.
Area of Science:
- Endocrinology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Laparoscopic adrenalectomy (LA) is the preferred method for adrenal tumors due to improved patient outcomes.
- LA offers benefits such as shorter hospital stays and faster recovery.
Purpose of the Study:
- To compare laparoscopic versus open adrenalectomy.
- The study evaluated operative time, blood loss, and hospital stay.
- Indications for both surgical approaches were also compared.
Main Methods:
- A retrospective study included 103 patients from 2005-2015.
- Data were extracted from patient files at King Hussein Medical Center.
- Statistical analysis was performed using SPSS and Stata.
Main Results:
- 90.2% of patients underwent laparoscopic adrenalectomy.
- Laparoscopic surgery showed significantly less operative time, blood loss, and hospital stay (P<0.001).
- Open surgery had a higher risk of incomplete tumor excision (P=0.020).
Conclusions:
- Laparoscopic adrenalectomy is superior to open surgery regarding key surgical outcomes.
- Laparoscopic adrenalectomy is safe and effective, irrespective of tumor size or malignant potential.
