Laparoscopic transperitoneal adrenalectomy: Our initial results

Abstract

Objective: To present the first 24 laparoscopic adrenalectomies performed in our clinic because of an adrenal mass. Material and methods:The medical files of 24 patients who underwent laparoscopic adrenalectomy between December 2008 and March 2013 at Haseki Teaching and Research Hospital were analyzed retrospectively. The demographic characteristics of the patients were recorded. Lateral transperitoneal laparoscopic adrenalectomy was performed in all patients. The operation time was defined as the interval between the first incision of the skin and closure of the skin. Intraoperative complications, estimated blood loss and hospital stays of the patients were evaluated. Final pathologies were recorded. Results:The mean age of the patients was 44.2±8.58 years (range: 29-66 years). Nine patients were female and 15 were male. A total of 24 masses were identified in the right (n=11), and left (n=13) adrenal glands masses were identified., Eighteen patients (75%) had no symptoms, and the masses were identified incidentally. The mean operation time was 144±46.1 minutes (range: 90-320 minutes), and the mean blood loss was 74±12.3 mL (range: 50-130 mL). None of the patients required a blood transfusion. In one patient, liver injury was identified intraoperatively due to traction. The mean duration of hospitalization was 2.9±1.1 days (range: 2-5 days). Adrenocortical adenoma and pheochromocytoma were the most common pathologies. Conclusion:Laparoscopic adrenalectomy is a safe and effective method for the treatment of adrenal masses with low complication rates.

Challenging risk factors for right and left laparoscopic adrenalectomy: A single centre experience with 272 cases

“…Although different surgical techniques have been described such as anterior, lateral and retroperitoneal approaches, the lateral transperitoneal approach is the most commonly used (7). The most important advantages of the lateral transperitoneal method are that it provides the opportunity to work in a wider surgical area and there is clearer visualisation of the surrounding organs (12).…”

Perioperative management during laparoscopic resection of large pheochromocytomas: A single‐institution retrospective study

“…Because all of these features impact perioperative status and care, laparoscopic surgery has been considered not to be feasible for pheochromocytomas. However, recent advances in our understanding of pheochromocytoma pathophysiology and in the laparoscopy techniques themselves have presented the possibility of laparoscopic resection as a safe and feasible treatment of pheochromocytomas …”