Abstract
References
- 1. Prager G, Heinz-Peer G, Passler C, et al. Surgical strategy in adrenal masses. Eur. J. Radiol. 2002;41:70-7. DOI:10.1016/ s0720-048x(01)00441-7
- 2. Amberson JB, Vaughan ED, Jr., Gray GF, et al. Flow cytometric analysis of nuclear DNA from adrenocortical neoplasms. A retrospective study using paraffin-embedded tissue. Cancer. 1987;59:2091- 5. DOI:10.1002/1097-0142(19870615)59:12<2091::aidcncr2820591221> 3.0.co;2-u
- 3. Mantero F, Terzolo M, Arnaldi G, et al. A survey on adrenal incidentaloma in Italy. Study Group on Adrenal Tumors of the Italian Society of Endocrinology. J. Clin. Endocrinol. Metab. 2000;85:637- 44. DOI:10.1210/jcem.85.2.6372
- 4. Di Buono G, Buscemi S, Lo Monte AI, et al. Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes. BMC Surg. 2019;18:128. DOI:10.1186/s12893-018-0456-6
- 5. Fu B, Li H, Ma X, et al. Robotic Adrenalectomy. In: Zhang X, ed. Laparoscopic and Robotic Surgery in Urology: Springer; 2020. p. 25-33.
- 6. Dinnes J, Bancos I, Ferrante Di Ruffano L, et al. MANAGEMENT OF ENDOCRINE DISEASE: Imaging for the diagnosis of malignancy in incidentally discovered adrenal masses: a systematic review and meta-analysis. Eur. J. Endocrinol. 2016;175:R51-64. DOI:10.1530/ EJE-16-0461
- 7. Luton JP, Martinez M, Coste J, et al. Outcome in patients with adrenal incidentaloma selected for surgery: an analysis of 88 cases investigated in a single clinical center. Eur. J. Endocrinol. 2000;143:111-7. DOI:10.1530/eje.0.1430111
- 8. Copeland PM. The incidentally discovered adrenal mass. Ann. Surg. 1984;199:116-22. DOI:10.1097/00000658-198401000-00021
- 9. Lau SK and Weiss LM. The Weiss system for evaluating adrenocortical neoplasms: 25 years later. Hum. Pathol. 2009;40:757- 68. DOI:10.1016/j.humpath.2009.03.010
- 10. Fassnacht M, Arlt W, Bancos I, et al. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors. Eur. J. Endocrinol. 2016;175:G1-G34. DOI:10.1530/EJE-16-0467
- 11. Gaujoux S, Mihai R, Joint Working Group Of E, et al. European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma. Br. J. Surg. 2017;104:358-76. DOI:10.1002/bjs.10414
- 12. Fassnacht M, Dekkers OM, Else T, et al. European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults, in collaboration with the European Network for the Study of Adrenal Tumors. Eur. J. Endocrinol. 2018;179:G1-G46. DOI:10.1530/EJE-18-0608
- 13. Fiori C, Checcucci E, Amparore D, et al. Adrenal tumours: open surgery versus minimally invasive surgery. Curr. Opin. Oncol. 2020;32:27-34. DOI:10.1097/CCO.0000000000000594
- 14. Chalkoo M, Awan N, Makhdoomi H, et al. Laparoscopic Adrenalectomy; A Short Summary with Review of Literature. 2017.
- 15. Raffaelli M, De Crea C and Bellantone R. Laparoscopic adrenalectomy. Gland Surg. 2019;8:S41-S52. DOI:10.21037/gs.2019.06.07
- 16. Koçak S and Özbaş S. Endoskopik Adrenalektomi. Turkiye Klinikleri Journal of Surgical Medical Sciences. 2007;3:29-36.
- 17. Aporowicz M, Domosławski P, Czopnik P, et al. Perioperative complications of adrenalectomy–12 years of experience from a single center/teaching hospital and literature review. Archives of medical science: AMS. 2018;14:1010.
- 18. Lodin M, Privitera A and Giannone G. Laparoscopic adrenalectomy (LA): keys to success: correct surgical indications, adequate preoperative preparation, surgical team experience. Surg. Laparosc. Endosc. Percutan. Tech. 2007;17:392-5. DOI:10.1097/ SLE.0b013e3180f6174b
- 19. Chan JE, Meneghetti AT, Meloche RM, et al. Prospective comparison of early and late experience with laparoscopic adrenalectomy. Am. J. Surg. 2006;191:682-6. DOI:10.1016/j.amjsurg.2006.01.042
- 20. Haveran LA, Novitsky YW, Czerniach DR, et al. Benefits of laparoscopic adrenalectomy: a 10-year single institution experience. Surg. Laparosc. Endosc. Percutan. Tech. 2006;16:217- 21. DOI:10.1097/00129689-200608000-00004
Abstract
Purpose: Laparoscopic adrenalectomy, which was performed successfully for the first time in 1992, has become the preferred method
in adrenal surgery especially in adrenal diseases. In this study, our aim is to compare the demographic and operative data 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, adrenalectomy was performed in 106 patients. Eighty of these patients (%75,4) were
operated by open and 26 of them (%24,6) 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. Operation time was statistically significantly shorter in the open group (p<0,0166). Duration of hospital stay was
statistically significantly longer in open group (p<0,0083). Hospital stay time was statistically significantly longer in midline incision
group (p<0,0083). Except for the weight of masses, statistically significant difference was not found between two groups (laparascopic
and open surgery) in demographic and operative features (age,gender,side,pathological diagnose,size of mass) releated to postoperative
complications.
Conclusion: In carefully selected group of patients laparoscopic adrenalectomy offered lesser postoperative hospital stay than the open
adrenalectomy. The longer operative time can be decreased when more experience is gained in laparascopic adrenalectomy. Laparoscopic
adrenalectomy should be preferred in adrenal disease as the gold standard in centers with completed learning curve.
"The list of authors in our article, which was published in the 2021-July issue, was made inadvertently. Considering the contribution of the author in the previous poster paper of the article in 2014, the list of authors has been changed."
The original article was published on 01 July 2021. http://journal.acibadem.edu.tr/en/pub/issue/62213/862954
Keywords
References
- 1. Prager G, Heinz-Peer G, Passler C, et al. Surgical strategy in adrenal masses. Eur. J. Radiol. 2002;41:70-7. DOI:10.1016/ s0720-048x(01)00441-7
- 2. Amberson JB, Vaughan ED, Jr., Gray GF, et al. Flow cytometric analysis of nuclear DNA from adrenocortical neoplasms. A retrospective study using paraffin-embedded tissue. Cancer. 1987;59:2091- 5. DOI:10.1002/1097-0142(19870615)59:12<2091::aidcncr2820591221> 3.0.co;2-u
- 3. Mantero F, Terzolo M, Arnaldi G, et al. A survey on adrenal incidentaloma in Italy. Study Group on Adrenal Tumors of the Italian Society of Endocrinology. J. Clin. Endocrinol. Metab. 2000;85:637- 44. DOI:10.1210/jcem.85.2.6372
- 4. Di Buono G, Buscemi S, Lo Monte AI, et al. Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes. BMC Surg. 2019;18:128. DOI:10.1186/s12893-018-0456-6
- 5. Fu B, Li H, Ma X, et al. Robotic Adrenalectomy. In: Zhang X, ed. Laparoscopic and Robotic Surgery in Urology: Springer; 2020. p. 25-33.
- 6. Dinnes J, Bancos I, Ferrante Di Ruffano L, et al. MANAGEMENT OF ENDOCRINE DISEASE: Imaging for the diagnosis of malignancy in incidentally discovered adrenal masses: a systematic review and meta-analysis. Eur. J. Endocrinol. 2016;175:R51-64. DOI:10.1530/ EJE-16-0461
- 7. Luton JP, Martinez M, Coste J, et al. Outcome in patients with adrenal incidentaloma selected for surgery: an analysis of 88 cases investigated in a single clinical center. Eur. J. Endocrinol. 2000;143:111-7. DOI:10.1530/eje.0.1430111
- 8. Copeland PM. The incidentally discovered adrenal mass. Ann. Surg. 1984;199:116-22. DOI:10.1097/00000658-198401000-00021
- 9. Lau SK and Weiss LM. The Weiss system for evaluating adrenocortical neoplasms: 25 years later. Hum. Pathol. 2009;40:757- 68. DOI:10.1016/j.humpath.2009.03.010
- 10. Fassnacht M, Arlt W, Bancos I, et al. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors. Eur. J. Endocrinol. 2016;175:G1-G34. DOI:10.1530/EJE-16-0467
- 11. Gaujoux S, Mihai R, Joint Working Group Of E, et al. European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma. Br. J. Surg. 2017;104:358-76. DOI:10.1002/bjs.10414
- 12. Fassnacht M, Dekkers OM, Else T, et al. European Society of Endocrinology Clinical Practice Guidelines on the management of adrenocortical carcinoma in adults, in collaboration with the European Network for the Study of Adrenal Tumors. Eur. J. Endocrinol. 2018;179:G1-G46. DOI:10.1530/EJE-18-0608
- 13. Fiori C, Checcucci E, Amparore D, et al. Adrenal tumours: open surgery versus minimally invasive surgery. Curr. Opin. Oncol. 2020;32:27-34. DOI:10.1097/CCO.0000000000000594
- 14. Chalkoo M, Awan N, Makhdoomi H, et al. Laparoscopic Adrenalectomy; A Short Summary with Review of Literature. 2017.
- 15. Raffaelli M, De Crea C and Bellantone R. Laparoscopic adrenalectomy. Gland Surg. 2019;8:S41-S52. DOI:10.21037/gs.2019.06.07
- 16. Koçak S and Özbaş S. Endoskopik Adrenalektomi. Turkiye Klinikleri Journal of Surgical Medical Sciences. 2007;3:29-36.
- 17. Aporowicz M, Domosławski P, Czopnik P, et al. Perioperative complications of adrenalectomy–12 years of experience from a single center/teaching hospital and literature review. Archives of medical science: AMS. 2018;14:1010.
- 18. Lodin M, Privitera A and Giannone G. Laparoscopic adrenalectomy (LA): keys to success: correct surgical indications, adequate preoperative preparation, surgical team experience. Surg. Laparosc. Endosc. Percutan. Tech. 2007;17:392-5. DOI:10.1097/ SLE.0b013e3180f6174b
- 19. Chan JE, Meneghetti AT, Meloche RM, et al. Prospective comparison of early and late experience with laparoscopic adrenalectomy. Am. J. Surg. 2006;191:682-6. DOI:10.1016/j.amjsurg.2006.01.042
- 20. Haveran LA, Novitsky YW, Czerniach DR, et al. Benefits of laparoscopic adrenalectomy: a 10-year single institution experience. Surg. Laparosc. Endosc. Percutan. Tech. 2006;16:217- 21. DOI:10.1097/00129689-200608000-00004
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Correction |
| Authors | |
| Publication Date | January 1, 2022 |
| Submission Date | January 23, 2021 |
| Published in Issue | Year 2022 |