Comparing the results of laparoscopic adrenalectomy with open adrenalectomy

Abstract

Aims: In this study, our purpose is to compare the results of the patients we carried out laparoscopic adrenalectomy because of the adrenal mass with the patients carried out open adrenalectomy in the same period and to present these results.

Material and method: Laparoscopic lateral transperitoneal adrenalectomy was carried out to a total of 19 patients in our hospital. In 18 of these patients, laparoscopy was performed successfully while in one patient conversion to open surgery was required. The control group of open adrenalectomy which consisted of 18 patients was gathered retrospectively starting with a case operated in 2006, using sequential patient selection. The case for whom conversion to open surgery was required, was excluded from the study. Parameters of the age, sex, the nature of adrenal disease, the affected side, the size of the adenal tumor, the weight of the adrenal tumor, were investigated. Mean operating time, hospital stay, early complications were compared between the groups.

Results: 18 patients were treated by laparoscopic adrenalectomy successfully, in one patient however, conversion to open operation was required (%5,2 ;1/19). There was no significant difference between the demographic details of the two groups. There was no difference between the groups in terms of tumor size, tumor weight, affected site, mean operating time, early postoperative complications. However, mean duration of postoperative hospital stay for patients undergoing laparoscopic adrenalectomy was shorter and patients in laparoscopy group had less blood loss, which were statistically significant.

Conclusion: Laparoscopic surgery in the appropriate patient is safe and efficient. Laparoscopic surgery should be the procedure of choice especially for the benign lesions . Surgeons carrying out laparoscopic adrenalectomy should be adequately trained and comfortable with performing both adrenal surgery and laparoscopic surgery.