Laparoscopic transperitoneal adrenalectomy: Our initial results.
OBJECTIVE
To present the first 24 laparoscopic adrenalectomies performed in our clinic because of an adrenal mass.


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.


CONCLUSIONS
Laparoscopic adrenalectomy is a safe and effective method for the treatment of adrenal masses with low complication rates.
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Faruk
F
Özgör
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Murat
M
Binbay
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Mehmet Fatih
MF
Akbulut
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Abdülmuttalip
A
Şimsek
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Murat
M
Şahan
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Ahmet Yalçın
AY
Berberoğlu
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Ömer
Ö
Sarılar
Department of Urology, Haseki Training and Research Hospital, İstanbul, Turkey.
Ahmet Yaser
AY
Müslümanoğlu
Adrenal mass; laparoscopic adrenalectomy; pheochromocytoma