A Single Surgeon’s Experience with Laparoscopic Adrenalectomy

Ji-Young Sul, MD, PhD, Jun-Beom Park, MD, Byoung-Soon Park, MD

Department of Surgery, Chungnam National University School of Medicine, Daejeon, Korea

Introduction: Laparoscopic Surgery on the adrenal gland is a highly specific procedure that requires mastery of laparoscopic surgery. From January 2000 to July 2012, 128 laparoscopic adrenalectomies on 125 patients were performed by a single surgeon. This study was done to summarize our experience and to evaluate the safety and effectiveness of laparoscopic adrenalectomy

Methods: A retrospective review of the patient records was carried out. The patients’ demographics, the tumor characteristics, the open conversion rate, the operating time, the length of the hospital stay and other clinical outcomes were studied.

Results: There were 13 conversions out of 125 patients. The indications for surgery included functional tumor in 85 patients(41 pheochromocytomas in 38 patients, 30 patients of primary aldosteronism and 17 patients of Cushing syndrome), and 40 nunfunctional tumor. The average tumor size was 3.8cm. The mean operating time was 163 min. The average length of the hospital stay was 4.1 days. Postoperative complications occurred in 14 patients with no perioperative mortality, and most of the complications could be considered as minor. During follow-up, four patients had adrenal insufficiency and port site hernia, and none had recurrence of hormonal excess.

Conclusion: Laparoscopic adrenalectomy has several advantages such as minimal postoperative pain, few surgical complications, a short hospital stay and an early return to work. The results confirm that laparoscopic adrenalectomy is the procedure of choice for resection of various benign adrenal neoplasms.


Session: Poster Presentation

Program Number: P519

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