Adrenal Tumor Size a Reason for Conversion in Laparoscopic Adrenalectomy?

Roxana Ganescu, MD, PhD, Sorin Paun, MD, PhD, Mircea Beuran, MD, PhD, Mihaela Vartic, MD, PhD, * Constantin Dumitrache, MD, PhD, * Diana Paun, MD, PhD

Emergency Hospital Bucharest Romania, *National Institute of Endocrinology C.I.Parhon Bucharest Romania

We know that laparoscopic adrenalectomy became gold standard for adrenal tumor mass smaller than 6 cm although there are favorable studies for larger tumors.

Material and method: in past 9 years we performed in our general surgery department of Emergency Hospital Bucharest 215 laparoscopic adrenalectomies for patients with different adrenal pathology diagnosed at the National Institute of Endocrinology C.I.Parhon.

Results: We counted 19 conversions (8,83 %): 11 on the left side, 6 on the right side and 2 from bilateral approach. Reasons for conversions were: bleading, unclear anatomy, adhesions, local invasion, heart rhythm disturbance, larger tumor size. Overall tumor size was 5,26 cm, 46 over 6 cm (23,46%) and in converted cases was 7,71 cm (1 to 20 cm) 9 (47,36%) of them over 6 cm. Average postoperative stay was 5 days and in converted cases 10,73 days. From 7 postoperative complications only 2 were in cases with tumor size larger than 6 cm.

Conclusions: Although laparoscopic approach for larger adrenal tumor mass is not generally accepted the tumor size is not the only reasons for conversion in laparoscopic adrenalectomy.

Session: Poster Presentation

Program Number: P621

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