Author/Authors :
Çiçek, Tufan Başkent Üniversitesi - Tıp Fakültesi - Üroloji Bilim Dalı, Turkey , Karagülle, Erdal Başkent Üniversitesi - Tıp Fakültesi - Genel Cerahi Bilim Dalı, Turkey , Türk, Emin Başkent Üniversitesi - Tıp Fakültesi - Genel Cerahi Bilim Dalı, Turkey , Demir, Canan Çiçek Baskent Üniversitesi - Tıp Fakültesi - Metabolizma ve Endokrin Bilim Dalı, Turkey , Koşan, Murat Başkent Üniversitesi - Tıp Fakültesi - Üroloji Bilim Dalı, Turkey
Abstract :
Purpose: In this study we aimed to assess the outcomes and complications of laparoscopic transperitoneal adrenalectomy operation performed in our clinicMaterials and Methods: Medical records of patients operated with laparoscopic transperitoneal adrenalectomy between February 2007 and November 2013 at Başkent University Konya Application and Research Center Urology Clinic are examined retrospectively. The demographic characteristics, preoperative and postoperative laboratory results, operation times, complications, and duration of hospital stay and follow-up were recorded.Results: A total of 10 patients underwent laparoscopic transperitoneal adrenalectomy. Seven of these were male and 3 were female. The mean age was 48 ± 17.4 (27-71) years. The operation time was 104.4 ± 36.5 (40-185) on average and the mean amount of blood loss was 43.5±121.2 ml. The average mass size was 41.6 ± 23.8 (15-90) mm. The mean duration of hospital stay was 3.8 ± 1.3 (2-6) days. The patients were followed for an average of 45.8 ± 28.7 (4-85) months. The operation was turned to open technique in two patients. Mean preoperative and postoperative hemoglobin levels of the patients were 13.38 ± 1.91 and 11.6 ± 1.7 mg/dl, respectively. Postoperative hemoglobin level was on average lower than the preoperative level (p 0.001). One patient required blood transfusion.Conclusion: We suggest that the complication rate of laparoscopic adrenalectomy would be lowered by selecting appropriate patients, more detailed assessment of adrenal functions, and increased surgical experience. Laparoscopic transperitoneal adrenalectomy is regarded as a safe and efficient treatment method.
