V.v. Grubnik, O.s. Burlak, V.v. Ilyashenko, V.v. Grubnik. Odessa national medical university, Ukraine
INTRODUCTION: Laparoscopic adrenalectomy (LA) is the “gold standard” approach for benign adrenal tumours. Retroperitoneoscopic adrenalectomy (RA) for left adrenal glands can be a valuable alternative. Aim of the study was to compare results of LA and RA for left adrenalectomy.
METHODS AND PROCEDURES: From 2010 to 2015, 68 patients with tumours of left adrenal glands were randomized into two groups: 35 patients with LA (group I), and 33 patients with RA (group II). Both groups were comparable with regard to demographic and clinical parameters.
RESULTS: Conversions were done in 1 case (2,9 %) in group I, and in 4 cases (12,1 %) in group II (p < 0,05) due to size of tumours. Operative time, time to first oral intake, analgesic requirements, length of hospital stay, postoperative complications were all significantly lower in the RA group.
CONCLUSIONS: RA provides better perioperative outcomes compared to LA. RA is a good alternative to LA for small tumors of left adrenal gland.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77337
Program Number: P708
Presentation Session: Poster (Non CME)
Presentation Type: Poster