Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients
Purpose: In this study we aimed to assess the outcomes and complications of laparoscopic transperitoneal adrenalectomy operation performed in our clinic Materials and Methods: Medical records of patients operated with laparoscopic transperitoneal adrenalectomy between February 2007 and November 201...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cukurova University
2014-08-01
|
| Series: | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=155059 |
| _version_ | 1797913054451597312 |
|---|---|
| author | Tufan Cicek Erdal Karagulle Emin Turk Canan Cicek Demir Murat Kosan |
| author_facet | Tufan Cicek Erdal Karagulle Emin Turk Canan Cicek Demir Murat Kosan |
| author_sort | Tufan Cicek |
| collection | DOAJ |
| description | Purpose: In this study we aimed to assess the outcomes and complications of laparoscopic transperitoneal adrenalectomy operation performed in our clinic
Materials and Methods: Medical records of patients operated with laparoscopic transperitoneal adrenalectomy between February 2007 and November 2013 at Baskent University Konya Application and Research Center Urology Clinic are examined retrospectively. The demographic characteristics, preoperative and postoperative laboratory results, operation times, complications, and duration of hospital stay and follow-up were recorded.
Results: A total of 10 patients underwent laparoscopic transperitoneal adrenalectomy. Seven of these were male and 3 were female. The mean age was 48 +/- 17.4 (27-71) years. The operation time was 104.4 +/- 36.5 (40-185) on average and the mean amount of blood loss was 43.5+/-121.2 ml. The average mass size was 41.6 +/- 23.8 (15-90) mm. The mean duration of hospital stay was 3.8 +/- 1.3 (2-6) days. The patients were followed for an average of 45.8 +/- 28.7 (4-85) months. The operation was turned to open technique in two patients. Mean preoperative and postoperative hemoglobin levels of the patients were 13.38 +/- 1.91 and 11.6 +/- 1.7 mg/dl, respectively. Postoperative hemoglobin level was on average lower than the preoperative level (p<0.001). One patient required blood transfusion.
Conclusion: We suggest that the complication rate of laparoscopic adrenalectomy would be lowered by selecting appropriate patients, more detailed assessment of adrenal functions, and increased surgical experience. Laparoscopic transperitoneal adrenalectomy is regarded as a safe and efficient treatment method. [Cukurova Med J 2014; 39(4.000): 722-728] |
| first_indexed | 2024-04-10T12:06:50Z |
| format | Article |
| id | doaj.art-58136c2131c04074b0d2fafe158961f7 |
| institution | Directory Open Access Journal |
| issn | 0250-5150 |
| language | English |
| last_indexed | 2024-04-10T12:06:50Z |
| publishDate | 2014-08-01 |
| publisher | Cukurova University |
| record_format | Article |
| series | Çukurova Üniversitesi Tıp Fakültesi Dergisi |
| spelling | doaj.art-58136c2131c04074b0d2fafe158961f72023-02-15T16:16:12ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502014-08-01394722728155059Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patientsTufan Cicek0Erdal Karagulle1Emin Turk2Canan Cicek Demir3Murat Kosan4Baskent Universitesi Tip Fakultesi, Uroloji Bilim Dali, Ankara Baskent Universitesi Tip Fakultesi Genel Cerrahi Ana Bilim Dali, Ankara Baskent Universitesi Tip Fakultesi Genel Cerrahi Ana Bilim Dali, Ankara Baskent Universitesi Tip Fakultesi ic Hastaliklari Ana bilim Dali, Metabolizma ve Endokrin Bolumu, Ankara Baskent Universitesi Tip Fakultesi, Uroloji Bilim Dali, AnkaraPurpose: In this study we aimed to assess the outcomes and complications of laparoscopic transperitoneal adrenalectomy operation performed in our clinic Materials and Methods: Medical records of patients operated with laparoscopic transperitoneal adrenalectomy between February 2007 and November 2013 at Baskent University Konya Application and Research Center Urology Clinic are examined retrospectively. The demographic characteristics, preoperative and postoperative laboratory results, operation times, complications, and duration of hospital stay and follow-up were recorded. Results: A total of 10 patients underwent laparoscopic transperitoneal adrenalectomy. Seven of these were male and 3 were female. The mean age was 48 +/- 17.4 (27-71) years. The operation time was 104.4 +/- 36.5 (40-185) on average and the mean amount of blood loss was 43.5+/-121.2 ml. The average mass size was 41.6 +/- 23.8 (15-90) mm. The mean duration of hospital stay was 3.8 +/- 1.3 (2-6) days. The patients were followed for an average of 45.8 +/- 28.7 (4-85) months. The operation was turned to open technique in two patients. Mean preoperative and postoperative hemoglobin levels of the patients were 13.38 +/- 1.91 and 11.6 +/- 1.7 mg/dl, respectively. Postoperative hemoglobin level was on average lower than the preoperative level (p<0.001). One patient required blood transfusion. Conclusion: We suggest that the complication rate of laparoscopic adrenalectomy would be lowered by selecting appropriate patients, more detailed assessment of adrenal functions, and increased surgical experience. Laparoscopic transperitoneal adrenalectomy is regarded as a safe and efficient treatment method. [Cukurova Med J 2014; 39(4.000): 722-728]http://www.scopemed.org/fulltextpdf.php?mno=155059Complications; laparoscopic adrenalectomy; laparoscopic retroperitoneal adrenalectomy; adrenal mass |
| spellingShingle | Tufan Cicek Erdal Karagulle Emin Turk Canan Cicek Demir Murat Kosan Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients Çukurova Üniversitesi Tıp Fakültesi Dergisi Complications; laparoscopic adrenalectomy; laparoscopic retroperitoneal adrenalectomy; adrenal mass |
| title | Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients |
| title_full | Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients |
| title_fullStr | Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients |
| title_full_unstemmed | Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients |
| title_short | Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients |
| title_sort | laparoscopic transperitoneal adrenalectomy experience with the first 10 patients |
| topic | Complications; laparoscopic adrenalectomy; laparoscopic retroperitoneal adrenalectomy; adrenal mass |
| url | http://www.scopemed.org/fulltextpdf.php?mno=155059 |
| work_keys_str_mv | AT tufancicek laparoscopictransperitonealadrenalectomyexperiencewiththefirst10patients AT erdalkaragulle laparoscopictransperitonealadrenalectomyexperiencewiththefirst10patients AT eminturk laparoscopictransperitonealadrenalectomyexperiencewiththefirst10patients AT canancicekdemir laparoscopictransperitonealadrenalectomyexperiencewiththefirst10patients AT muratkosan laparoscopictransperitonealadrenalectomyexperiencewiththefirst10patients |