Author/Authors :
Serji, Badr Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , Serji, Badr Mohammed the First University - Medical School, Morocco , Souadka, Amine Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , Benkabbou, Amine Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , Hachim, Hajar Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , Jaiteh, Lamin Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , Mohsine, Raouf Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , Ifrine, Lahcen Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , Belkouchi, Abdelkader Mohammed V University in Rabat - Medical School, Ibn Sina Hospital - Surgery Department ‘A’, Morocco , El Malki, Hadj Omar Mohammed V University in Rabat - Medical School, Ibn Sina Hospital, Medical Centre of Clinical Trials and Epidemiological Study and Biostatistical - Surgery Department ‘A’, Clinical Research and Epidemiological Laboratory, Morocco , El Malki, Hadj Omar Abulcasis International University of Health Sciences - Abulcasis Medical School, Morocco
Abstract :
Objective: To verify the feasibility and safety of laparoscopic adrenalectomy for large tumours, as since it was described, the laparoscopic approach for adrenalectomy has become the ‘gold standard’ for small tumours and for large and non-malignant adrenal tumours many studies have reported acceptable results. Patients and methods: This is a retrospective study from a general surgery department from January 2006 to December 2013 including 45 patients (56 laparoscopic adrenalectomies). We divided patients into two groups according to tumour size: 5 or ≥ 5 cm, we compared demographic data and peri- and postoperative outcomes. Results: There was no statistical difference between the two groups for conversion rate (3.7% vs 11.7% P = 0.32), postoperative complications (14% vs 12%, P = 0.4), postoperative length of hospital stay (5 vs 6 days P = 0.43) or mortality (3.5% vs 0% P = 0.99). The only statistical difference was the operating time, at a mean (SD) 155 (60) vs 247 (71) min (P 0.001). Conclusion: Laparoscopic adrenalectomy for large tumours needs more time but appears to be safe and feasible when performed by experienced surgeons.
