Comparison of Laparascopic and Open Adrenalectomy

An Erratum to this article was published on 01 January 2022. http://journal.acibadem.edu.tr/en/pub/issue/65423/1049054  

Purpose Laparoscopic adrenalectomy, which was performed successfully for the first time in 1992, has become the preferred method in adrenal surgery especially in benign adrenal diseases. In this study, our aim is to compare the postoperative results of laparoscopic and open adrenalectomies performed in the general surgery clinic of our hospital. Methods The records of the patients who were operated in hospital due to a surrenal mass between August, 2006 and December 2012 have been retrospectively assessed. Demographic characteristics of the patients, such as age, sex, the size and location of tumors were included. Surgical indications were classified in terms of their radiologic and biochemical investigations. Type of the surgery (lateral transperitoneal laparoscopic or open approach), the incision used in these surgeries (midline, subcoastal and paramedian), the length of operation, the length of hospital stay, postoperative complications and the final pathology results were all examined. Results During the afformentioned period, unilateral adrenalectomy was performed in 106 patients. Eighty of these patients (%75,4) were operated by open surgery and 26 of them (%24,6) were operated by lateral transperitoneal laparoscopic surgery. Subcostal incision was used 61 of 80 patients (% 82,4), whereas 17 patients (% 22,9) were operated by midline incision and 2(% 2,7 were by paramedian incision. No mortality was encountered. The length of operation was statistically significantly shorter in the open group (p<0,0166).The length of hospital stay was statistically significantly longer in open group (p<0,0083). The length of hospital stay was statistically significantly longer in midline incision group(p<0,0083). No statistically meaningful difference was found in terms of age, sex and patological diagnosis releated to postoperative complications. Conclusion In carefully selected group of patients laparoscopic adrenalectomy offered lesser postoperative hospital stay and lesser postoperative complications than the open adrenalectomy. The longer operative time can be decreased when more experience is gained in laparascopic adrenalectomy. Complication rates of laparoscopic adrenalectomies are lower than conventional adrenalectomy and should be preferred as the gold standard in centers with completed learning curve.

An Erratum to this article was published on 01 January 2022. http://journal.acibadem.edu.tr/en/pub/issue/65423/1049054