Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 Patients
Objective: To present our laparoscopic surgery experience in the treatment of adrenal masses. Methods: Between January 2008 and March 2015, a total of 58 adrenal glands in 54 patients (39 females, 15 males) underwent transperitoneal laparoscopic adrenalectomy (TLA) to remove an adrenal mass. The pa...
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| Format: | Article |
| Language: | English |
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European Medical Journal
2015-06-01
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| Series: | European Medical Journal Urology |
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| Online Access: | http://emjreviews.com/wp-content/uploads/Transperitoneal-Laparoscopic-Adrenalectomy-for-Adrenal-Tumours-Experience-with-54-Patients.pdf |
| _version_ | 1828931132534554624 |
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| author | Melih Balci Altug Tuncel Yilmaz Aslan Ozer Guzel Anil Erkan Ersin Koseoglu Ali Atan |
| author_facet | Melih Balci Altug Tuncel Yilmaz Aslan Ozer Guzel Anil Erkan Ersin Koseoglu Ali Atan |
| author_sort | Melih Balci |
| collection | DOAJ |
| description | Objective: To present our laparoscopic surgery experience in the treatment of adrenal masses.
Methods: Between January 2008 and March 2015, a total of 58 adrenal glands in 54 patients (39 females, 15 males) underwent transperitoneal laparoscopic adrenalectomy (TLA) to remove an adrenal mass. The patients underwent hormonal evaluation, triphasic magnetic resonance imaging, and/or abdominal computed tomography. Thirty-one patients (57.4%) had a hormonally active adrenal mass.
Results: Twenty-nine right, 21 left, and 4 bilateral TLA were performed. The mean age and body mass index of the patients were 49.5±11.2 years and 27.2±4.3 kg/m2, respectively. The mean adrenal mass size, operation time, estimated blood loss, and hospitalisation duration were 35.9±15.0 mm, 92.7±29.6 minutes, 50.8±33.1 ml, and 3.7±2.5 days, respectively. No minor or major complications were observed postoperatively. In pathological examinations, 38 (70.3%) patients had adenoma or adrenal hyperplasia, 8 (14.7%) had pheochromocytoma, 2 (3.7%) had periadrenal paraganglioma, 2 (3.7%) had adrenal cysts, 1 (1.9%) had schwannoma, 1 (1.9%) had myelolipoma, 1 (1.9%) had myeloid metaplasia, and 1 (1.9%) had adrenal cortical carcinoma.
Conclusion: TLA is a safe and efficient minimally invasive treatment option with a low morbidity rate in the surgical treatment of adrenal masses. |
| first_indexed | 2024-12-14T00:42:15Z |
| format | Article |
| id | doaj.art-17417986d9674012874d00a909791752 |
| institution | Directory Open Access Journal |
| issn | 2053-4213 |
| language | English |
| last_indexed | 2024-12-14T00:42:15Z |
| publishDate | 2015-06-01 |
| publisher | European Medical Journal |
| record_format | Article |
| series | European Medical Journal Urology |
| spelling | doaj.art-17417986d9674012874d00a9097917522022-12-21T23:24:17ZengEuropean Medical JournalEuropean Medical Journal Urology2053-42132015-06-01334144Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 PatientsMelih Balci0Altug Tuncel1Yilmaz Aslan2Ozer Guzel3Anil Erkan4Ersin Koseoglu5Ali Atan6Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey Third Department of Urology, Ankara Numune Research and Training Hospital, Ministry of Health, Ankara, Turkey Objective: To present our laparoscopic surgery experience in the treatment of adrenal masses. Methods: Between January 2008 and March 2015, a total of 58 adrenal glands in 54 patients (39 females, 15 males) underwent transperitoneal laparoscopic adrenalectomy (TLA) to remove an adrenal mass. The patients underwent hormonal evaluation, triphasic magnetic resonance imaging, and/or abdominal computed tomography. Thirty-one patients (57.4%) had a hormonally active adrenal mass. Results: Twenty-nine right, 21 left, and 4 bilateral TLA were performed. The mean age and body mass index of the patients were 49.5±11.2 years and 27.2±4.3 kg/m2, respectively. The mean adrenal mass size, operation time, estimated blood loss, and hospitalisation duration were 35.9±15.0 mm, 92.7±29.6 minutes, 50.8±33.1 ml, and 3.7±2.5 days, respectively. No minor or major complications were observed postoperatively. In pathological examinations, 38 (70.3%) patients had adenoma or adrenal hyperplasia, 8 (14.7%) had pheochromocytoma, 2 (3.7%) had periadrenal paraganglioma, 2 (3.7%) had adrenal cysts, 1 (1.9%) had schwannoma, 1 (1.9%) had myelolipoma, 1 (1.9%) had myeloid metaplasia, and 1 (1.9%) had adrenal cortical carcinoma. Conclusion: TLA is a safe and efficient minimally invasive treatment option with a low morbidity rate in the surgical treatment of adrenal masses.http://emjreviews.com/wp-content/uploads/Transperitoneal-Laparoscopic-Adrenalectomy-for-Adrenal-Tumours-Experience-with-54-Patients.pdfadrenalectomylaparoscopytransperitoneal |
| spellingShingle | Melih Balci Altug Tuncel Yilmaz Aslan Ozer Guzel Anil Erkan Ersin Koseoglu Ali Atan Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 Patients European Medical Journal Urology adrenalectomy laparoscopy transperitoneal |
| title | Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 Patients |
| title_full | Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 Patients |
| title_fullStr | Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 Patients |
| title_full_unstemmed | Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 Patients |
| title_short | Transperitoneal Laparoscopic Adrenalectomy for Adrenal Tumours: Experience with 54 Patients |
| title_sort | transperitoneal laparoscopic adrenalectomy for adrenal tumours experience with 54 patients |
| topic | adrenalectomy laparoscopy transperitoneal |
| url | http://emjreviews.com/wp-content/uploads/Transperitoneal-Laparoscopic-Adrenalectomy-for-Adrenal-Tumours-Experience-with-54-Patients.pdf |
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