Laparoscopic surgery in functional and nonfunctional adrenal tumors: A single-center experience

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• 作者：Bahadır Ö ; z^a ; ^{drbahadir01@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Alper Akcan^a ; Ertan Emek^a ; Muhammet Aky&uuml ; z^a ; Erdoğan Sö ; z&uuml ; er^a ; Hızır Akyıldız^a ; Adnan Bayram^b ; Rıdvan Kulu^a ; Engin Ok^a
• 关键词：functioning adrenal tumours ; non-functioning adrenal tumours ; laparoscopic lateral transabdominal adrenalectomy
• 刊名：Asian Journal of Surgery
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：39
• 期：3
• 页码：137-143
• 全文大小：631 K

文摘

Laparoscopic adrenalectomy (LA) is a safe and minimally invasive operation for benign adrenal tumours. The purpose of this study was a retrospective analysis of outcomes following laparoscopic lateral transabdominal adrenalectomy performed for benign adrenal tumours responsible for various endocrinological disorders and non-functioning tumours.

Methods

A total of 100 laparoscopic adrenalectomy were carried out between January 2007 and March 2013 via the lateral transabdominal approach. The analysed factors included demographic data of patients, indication for surgery, tumour size and side, intraoperative and postoperative outcome of laparoscopic lateral transabdominal adrenalectomy including duration of surgery, length of hospital stay, the complication rate, as well as the conversion rate to open adrenalectomy.

Results

There were 34 patients with non-functioning tumours (Group 1) and 66 with functioning tumours (Group 2). The intraoperative and postoperative outcomes were not significantly different in the cases among the analysed groups of patients. The median operative time was 101 ± 4.3 (range, 30–210) minute in group 1 and 95 ± 5.9 (range, 30–190) minute in group 2, there was not statistically significant (p = 0.56). The median duration of the postoperative hospital stay in the group 1 was bigger than group 2, this did not differ significantly (p = 0.08). Peroperative complications were occured in 9 (9%) patients, observing 6 (9%) patients in Group 1 and 3 (8.8%) patients in Group 2. There was not statistically significant (p = 0.96). In the postoperative period, three patients in group I, 1 patient in group II developed complications, this difference was not statistically significant (p = 0.69). The conversion to open surgery was found in 9 (9%) patients.

Conclusion

This study shows that laparoscopic lateral transabdominal adrenalectomy is a safe, effective, and technically feasible procedure in the treatment of both functioning and nonfunctioning benign tumours of the adrenal gland.