Evren Durak, Emine Özlem Sayın Gür, Mehmet Hacıyanlı, Onur Dülgeroğlu, 0000-0003-1204-7546, Tayfun Bilgiç, Özgün Akgül, Fatma Tatar, Yusuf Kumkumoğlu

Laparoskopik ve Açık Adrenalektominin Karşılaştırılması

Amaç: İlk olarak 1992 yılında başarılı bir şekilde gerçekleştirilen laparoskopik adrenalektomi adrenal hastalıklarda ilk tercih edilen yöntem olmaktadır. Bizim bu çalışmada amacımız; hastanemiz genel cerrahi kliniğinde yapılan laparaskopik ve açık sürrenalektomilerin demografik ve operatif sonuçlarını karşılaştırmaktır. Method: Hastanemizde 2006 Ağustos-2012 Aralık tarihleri arasında genel cerrahi kliniğinde sürrenal kitle nedeni adrenalektomi uygulanmış hastaların kayıtları retrospektif olarak incelendi. Hastaların yaş, cinsiyet, tümör boyutu ve lokalizasyon gibi demografik özellikleri incelendi. Preoperatif klinik, radyolojik ve biyokimyasal özelliklerine göre operasyon endikasyonları gruplandırıldı. Operasyon tipi (lateral transperitoneal laparaskopik veya açık) , operasyonda kullanılan insizyon (median , subkostal , paramedian) , operasyon süreleri , ameliyat sonrası hastanede kalış süresi , postoperatif komplikasyon ve patoloji sonuçları incelendi. Bulgular: Retrospektif olarak incelenen tarih aralığında 106 hastaya adrenalektomi uygulandı. Opere edilen hastaların 80’ine (%75,4) açık cerrahi , 26’sına (%24,6) ise laparaskopik lateral transperitoneal adrenalektomi uygulanmıştır. Açık cerrahi uygulanan 80 hastanın 61’inde (82,4%) subkostal , 17’sinde (22,9%) median ve 2’sinde (2,7%) paramedian kesi kullanıldığı görüldü. Herhangi bir mortaliteye rastlanmadı. Açık cerrahi uygulanan grupta operasyon sürelerinin istatistiksel olarak anlamlı kısa olduğu görüldü (p

Comparison of Laparascopic and Open Adrenalectomy

Purpose: Laparoscopic adrenalectomy, which was performed successfully for the first time in 1992, has become the preferred method in adrenal surgery especially in adrenal diseases. In this study, our aim is to compare the demographic and operative data of laparoscopic and open adrenalectomies performed in the general surgery clinic of our hospital. Methods: The records of the patients who were operated in hospital due to a surrenal mass between August 2006 and December 2012 have been retrospectively assessed. Demographic characteristics of the patients, such as age, sex, the size and location of tumors were included. Surgical indications were classified in terms of their radiologic and biochemical investigations. Type of the surgery (lateral transperitoneal laparoscopic or open approach), the incision used in these surgeries (midline, subcoastal and paramedian), the length of operation, the length of hospital stay, postoperative complications and the final pathology results were all examined. Results: During the afformentioned period, adrenalectomy was performed in 106 patients. Eighty of these patients (%75,4) were operated by open and 26 of them (%24,6) by lateral transperitoneal laparoscopic surgery. Subcostal incision was used 61 of 80 patients (% 82,4), whereas 17 patients (% 22,9) were operated by midline incision and 2(% 2,7) were by paramedian incision. No mortality was encountered. Operation time was statistically significantly shorter in the open group (p

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