Can TUYGUN, Volkan SELMİ, Ufuk ÖZTÜRK, G İnanç İMAMOĞLU, H N GÖKSEL GÖKTUĞ, Kürşat ZENGİN, İsmail NALBANT, Hasan BAKIRTAŞ

Our Experience in Laparoscopic Adrenalectomy and Literature Review

Amaç: Laparoskopik adrenalektomi deneyimlerimizin sunulması. Yöntem: Ağustos 2007 ile Ekim 2014 tarihleri arasında yapmış olduğumuz 64 adrenalektomi olgusunun dosya kayıtları retrospektif olarak incelendi. 25 olgu sağ ve 38 olgu sol taraf olmak üzere 63 olguda tek taraflı, 1 olguda ise bilateral adrenal kitle mevcuttu. Olguların ortalama yaşı 46,72 olup 44 (%68,75) olgu kadın, 20 (%31,25) olgu erkekti.Ortalama kitle boyutları fonsiyonel adenomlarda 35x29 mm iken nonfonksiyonel olanlarda 48x34 mm olarak hesaplandı. Bulgular : Çalışmaya dahil edilen 64 olgunun 48 tanesi endokrinoloji kliniğince tarafımıza yönlendirilirken 16 hasta insidental olarak saptanmıştı. Olgulardan 14 tanesinde geçirilmiş intraabdominal cerrahi öyküsü mevcut olup bu hastaların beş tanesinde intraperitoneal adezyon dolayısıyla açık operasyona hsopitalizasyon süresi 3,1±1,6.Çalışmamızda major komplikasyon ile nüks veya rezidü kitle ile karşılaşılmamıştır. Sonuç : Laparoskopik adrenalektomi uygun olgularda hasta ve cerraha konfor sağlayabilen güvenle uygulanabilecek bir yöntemdir.

Laparoskopik Adrenalektomideki Deneyimimiz ve Literatürün Gözden Geçirilmesi

Objective: To present our experience in laparoscopic adrenalectomy. Material and Methods: We have reviewed the records of our 64 adrenalectomy cases between August 2007 and October 2014 retrospectively. Of these cases, 63 had unilateral masses (25 right-sided, 38 left-sided) while only one patient had bilateral masses. The mean age of the patients was 46.72 years and 44 (68.75%) patients were women and 20 (31.25%) were men. The average mass size was calculated as 35x29 mm and 48x34 mm in functional and non-functional adenomas, respectively. Results: Among the 64 patients, 48 were referred by endocrinology clinics while 16 patients were diagnosed incidentally. Fourteen patients had history of previous intra-abdominal surgery and five of them were continued as open surgery due to intraperitoneal adhesions. Mean duration of operation was 94±42 minutes and mean hospitalization time was 3.1±1,6 days. We did not encounter any major complications and recurrent or residual masses. Conclusion: Laparoscopic adrenalectomy is a safe method that can provide comfort to patients and surgeons in appropriate cases.

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