Transperitoneal Laparoscopic Adrenalectomy
Laparoscopic Adrenalectomy
Keywords:
laparoscopic adrenalectomy, open adrenalectomy, conversion rate, efficacyAbstract
Laparoscopic adrenalectomy has become the procedure of choice to treat small adrenal mass. The laparoscopic adrenalectomy has been further enhanced in medical schools, universities, or private hospitals in Bangkok, it is not well-known in regional hospitals and other general hospitals. The objectives of this research were to demonstrate the experiences and results of the laparoscopic adrenalectomy that performed at Buddhachinaraj Phitsanulok Hospital. A review of the medical records was performed for 126 cases of patients who underwent the adrenalectomy during April 2009 to July 2019. Data were presented as frequency, percentage, mean, standard deviation and median. Comparison of data between two groups with chi-square, Mann Whitney U, independent t and Fisher’s exact tests with statistically significant at 0.05 level. Patients in 126 cases had laparoscopic adrenalectomy 107 cases (by researcher) and normal surgery 19 cases (by urosurgeons, including researcher). Patient underwent laparoscopic adrenalectomy appeared to achieve superior results in terms of blood loss, hospital stay. The conversion rate to open surgery was 2.8%. Complications during surgery in laparoscopic surgery were significantly lower than those with large open surgery. No mortality case detected. Thus, laparoscopic adrenal surgery in this study are effective, safe, reduced blood loss, shortened the length of hospitalization, quick recovery and no mortality case.
References
2. Bonjor HJ, Sorm V, Berends FJ, Kazemier G, Steyerberg EW, de Herder WW, et al. Endoscopic retroperitoneal adrenalectomy: Lessons learned from 111 consecutive cases. Ann Surg 2000;232(6):796-803.
3. Smith CD, Weber CJ, Amerson JR. Laparoscopic adrenalectomy: New Gold Standard. World J Surg 1999;23(4):389-96.
4. Lal G, Duh QY. Laparoscopic adrenalectomyindications and technique. Surg Oncol 2003;12(2):105-23.
5. Wittayapairoch J, Jenwitheesuk K, Punchai S, Saeseow OT, Thanapaisal C, Paonariang K. Laparoscopic adrenalectomy: 6 Yearsexperience in Srinagarind Hospital. J Med Assoc Thai 2015;98(Suppl 7):S174-8.
6. Nimitrvanich C. Laparoscopic lateral transabdominal adrenalectomy for small and medium sized benign functioning adrenal disease. Thai Surg 2001;22(1):1-6.
7. Chotirosnramit N, Angkoolpakdeekul T, Kongdan Y, Suvikapakornkul R, Leelaudomlipi S. A laparoscopic versus open adrenalectomy in Ramathibodi Hospital. J Med Assoc Thai 2007;90(12):2638-43.
8. Bjornsson B, Birgisson G, Oddsdottir M. Laparoscopic adrenalectomies: A nationwide single-surgeon experience. Surg Endosc 2008;22(3):622-6.
9. Wittayapairoj J, Jenwitheesuk K. Laparoscopic adrenalectomy. Srinagarind Med J 2013;28(Suppl):135-9.
10. Lopes RI, Denes FT, Bissoli J, Mendonca BB, Srougi M. Laparoscopic adrenalectomy in children. J Pediatr Urol 2012;8(4):379-85.
11. Nerli RB, Reddy MN, Guntaka A, Patil S, Hiremath M. Laparoscopic adrenalectomy for adrenal masses in children. J Pediatr Urol 2011;7(2):182-6.
12. Santi-ngamkun A, Ratchanon S, Aksornnit K, Sunthornyothin S. Laparoscopic adrenalectomy:First 50 cases in King Chulalongkorn Memorial Hospital. Chula Med J 2005;49(6):325-32.
13. Gagner M, Pomp A, Heniford BT, Pharand D, Lacroix A. Laparoscopic adrenalectomy lessons learned from 100 consecutive procedures. Ann Surg 1997;226(3):238-47.
14. Shichman SJ, Herndon CD, Sosa RE, Whalen GF, MacGillivray DC, Malchoff CD, et al. Lateral transperitoneal laparoscopic adrenalectomy. World J Urol 1999;17(1):48-53.
15. Schell SR, Talamini MA, Udelsman R. Laparoscopic adrenalectomy for nonmalignant disease: Improved safety, morbidity, and cost-effectiveness. Surg Endosc1999;13(1):30-4.
16. Staren ED, Prinz RA. Adrenalectomy in the era of laparoscopy. Surgery 1996;120(4):706-9.
17. Terachi T, Yoshida O, Matsuda T, Orikasa S, Chiba Y, Takahashi K, et al. Complications of laparoscopic and retroperitoneoscopic adrenalectomies in 370 cases in Japan:A multi-institutional study. Biomed Pharmacother 2000;54(Suppl 1):211-4.
18. Suarez MH, Junquera A, Boix P, Dieguez M, Delgado E, Garcia JM, et al. Surgical experience and results in transperitoneal laparoscopic adrenalectomy. Actas Urol Esp 2010;34(5):412-6.
19. Balci M, Tuncel A, Aslan Y, Guzel O, Erkan A, Koseoglu E, et al. Transperitoneal laparoscopic adrenalectomy for adrenal tumours: Experience with 54 patients. EMJ Urol 2015;3(3):41-4.
20. Balci M, Tuncel A, Aslan Y, Guzel O, Erkan A, Koseoglu E, et al. Transperitoneal laparoscopic adrenalectomy for adrenal tumours: Experience with 54 patients. EMJ Urol 2015;3(3):41-4.
