Objective: We analyzed the outcomes of laparoscopic adrenalectomies performed over a 5-year period.
Material and Method: In this descriptive, retrospective, observational study, we analyzed 35 laparoscopic transperitoneal adrenalectomy patients sex, age, preoperative diagnosis, size and laterality of mass, operative times, conversi-on to open surgery, postoperative complications, length of hospital stay and the results of histo-pathological examination, between January 2009 and May 2014.
Results: The average age of patients was 50.2 (±3.5) years old. The pathologic diagno-sis of lesions were 15 adrenocortical adenomas (42.8%), 10 pheochromocytomas (28.5%), 1 lei-omyosarcoma (2.8%), 1 small cell adenoid carci-noma infiltration (2.8%), 1 cystic lymphangioma (2.8%), 1 miyolipom (2.8%), 1 angiomyolipoma (2.8%), 1 cavernous hemangioma (2.8%), 1 he-morrhagic cyst (2.8%), 1 mesenteric cyst (2.8%), 1 pseudocyst (2.8%), 1 endothelial vascular cyst (2.8%), 1 small cell lung cancer metastasis (%2.8) and 1 cystic lymphangioma (%2.8). 5 (14.2%) ca-ses required conversion to open surgery because of bleeding (4 cases) and extensive fibrosis (1 case).
Conclusion: Laparoscopic transperitoneal adrenalectomy has proved to be gold standard in the not only treatment of benign adrenal tumors and also alternative treatment for well-selected adrenal malignant tumors.
Key Words: Adrenal mass, laparoscopic ad-renalectomy.
Abstract
Objective: We analyzed the outcomes of laparoscopic adrenalectomies performed over a 5-year period.
Material and Method: In this descriptive, retrospective, observational study, we analyzed 35 laparoscopic transperitoneal adrenalectomy patients sex, age, preoperative diagnosis, size and laterality of mass, operative times, conversi-on to open surgery, postoperative complications, length of hospital stay and the results of histo-pathological examination, between January 2009 and May 2014.
Results: The average age of patients was 50.2 (±3.5) years old. The pathologic diagno-sis of lesions were 15 adrenocortical adenomas (42.8%), 10 pheochromocytomas (28.5%), 1 lei-omyosarcoma (2.8%), 1 small cell adenoid carci-noma infiltration (2.8%), 1 cystic lymphangioma (2.8%), 1 miyolipom (2.8%), 1 angiomyolipoma (2.8%), 1 cavernous hemangioma (2.8%), 1 he-morrhagic cyst (2.8%), 1 mesenteric cyst (2.8%), 1 pseudocyst (2.8%), 1 endothelial vascular cyst (2.8%), 1 small cell lung cancer metastasis (%2.8) and 1 cystic lymphangioma (%2.8). 5 (14.2%) ca-ses required conversion to open surgery because of bleeding (4 cases) and extensive fibrosis (1 case).
Conclusion: Laparoscopic transperitoneal adrenalectomy has proved to be gold standard in the not only treatment of benign adrenal tumors and also alternative treatment for well-selected adrenal malignant tumors.
Key Words: Adrenal mass, laparoscopic ad-renalectomy.