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::aid-cncr2820591221>3.0.co;2-u
- 3 Taya M, Paroder V, Haramati L, et al. 2048: Two emr query strategies to assess prevalence of adrenal incidentaloma. Journal of Clinical and Translational Science. 2017;1:11-.
- 4 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
- 5 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
- 6 Fu B, Li H, Ma X, et al. Robotic adrenalectomy. Laparoscopic and robotic surgery in urology: Springer; 2020. p. 25-33.
- 7 Dinnes J, Bancos I, Di Ruffano LF, et al. Management of endocrine disease: Imaging for the diagnosis of malignancy in incidentally discovered adrenal masses: A systematic review and meta-analysis. European journal of endocrinology. 2016;175:R51-R64.
- 8 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
- 9 Copeland PM. The incidentally discovered adrenal mass. Ann Surg. 1984;199:116-22. DOI:10.1097/00000658-198401000-00021
- 10 Lau SK and Weiss LM. The weiss system for evaluating adrenocortical neoplasms: 25 years later. Human pathology. 2009;40:757-68.
- 11 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.
- 12 Gaujoux S, Mihai R, ESES JWGo, 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. British Journal of Surgery. 2017;104:358-76.
- 13 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. European journal of endocrinology. 2018;179:G1-G46.
- 14 Fiori C, Checcucci E, Amparore D, et al. Adrenal tumours: Open surgery versus minimally invasive surgery. Current opinion in oncology. 2020;32:27-34.
- 15 Chalkoo M, Awan N, Makhdoomi H, et al. Laparoscopic adrenalectomy; a short summary with review of literature. 2017.
- 16 Raffaelli M, De Crea C and Bellantone R. Laparoscopic adrenalectomy. Gland surgery. 2019;8:S41.
- 17 KOÇAK S and ÖZBAŞ S. Endoskopik adrenalektomi. Turkiye Klinikleri Journal of Surgical Medical Sciences. 2007;3:29-36.
- 18 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.
- 19 Lodin M, Privitera A and Giannone G. Laparoscopic adrenalectomy (la): Keys to success: Correct surgical indications, adequate preoperative preparation, surgical team experience. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2007;17:392-5.
- 20 Chan JE, Meneghetti AT, Meloche RM, et al. Prospective comparison of early and late experience with laparoscopic adrenalectomy. The American journal of surgery. 2006;191:682-6.
- 21 Haveran LA, Novitsky YW, Czerniach DR, et al. Benefits of laparoscopic adrenalectomy: A 10-year single institution experience. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2006;16:217-21.
Abstract
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
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::aid-cncr2820591221>3.0.co;2-u
- 3 Taya M, Paroder V, Haramati L, et al. 2048: Two emr query strategies to assess prevalence of adrenal incidentaloma. Journal of Clinical and Translational Science. 2017;1:11-.
- 4 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
- 5 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
- 6 Fu B, Li H, Ma X, et al. Robotic adrenalectomy. Laparoscopic and robotic surgery in urology: Springer; 2020. p. 25-33.
- 7 Dinnes J, Bancos I, Di Ruffano LF, et al. Management of endocrine disease: Imaging for the diagnosis of malignancy in incidentally discovered adrenal masses: A systematic review and meta-analysis. European journal of endocrinology. 2016;175:R51-R64.
- 8 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
- 9 Copeland PM. The incidentally discovered adrenal mass. Ann Surg. 1984;199:116-22. DOI:10.1097/00000658-198401000-00021
- 10 Lau SK and Weiss LM. The weiss system for evaluating adrenocortical neoplasms: 25 years later. Human pathology. 2009;40:757-68.
- 11 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.
- 12 Gaujoux S, Mihai R, ESES JWGo, 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. British Journal of Surgery. 2017;104:358-76.
- 13 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. European journal of endocrinology. 2018;179:G1-G46.
- 14 Fiori C, Checcucci E, Amparore D, et al. Adrenal tumours: Open surgery versus minimally invasive surgery. Current opinion in oncology. 2020;32:27-34.
- 15 Chalkoo M, Awan N, Makhdoomi H, et al. Laparoscopic adrenalectomy; a short summary with review of literature. 2017.
- 16 Raffaelli M, De Crea C and Bellantone R. Laparoscopic adrenalectomy. Gland surgery. 2019;8:S41.
- 17 KOÇAK S and ÖZBAŞ S. Endoskopik adrenalektomi. Turkiye Klinikleri Journal of Surgical Medical Sciences. 2007;3:29-36.
- 18 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.
- 19 Lodin M, Privitera A and Giannone G. Laparoscopic adrenalectomy (la): Keys to success: Correct surgical indications, adequate preoperative preparation, surgical team experience. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2007;17:392-5.
- 20 Chan JE, Meneghetti AT, Meloche RM, et al. Prospective comparison of early and late experience with laparoscopic adrenalectomy. The American journal of surgery. 2006;191:682-6.
- 21 Haveran LA, Novitsky YW, Czerniach DR, et al. Benefits of laparoscopic adrenalectomy: A 10-year single institution experience. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. 2006;16:217-21.
Details
| Primary Language | English |
|---|---|
| Subjects | Surgery |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 1, 2021 |
| Submission Date | January 23, 2021 |
| Published in Issue | Year 2021 |