Abstract:

Objective: We analyzed the outcomes of laparoscopic adrenalectomies performed over a 5-year period. Material and Method: In this descriptive, retrospective, observational study, we analyzed 35 laparoscopic transperitoneal adrenalectomy patients sex, age, preoperative diagnosis, size and laterality of mass, operative times, conversion to open surgery, postoperative complications, length of hospital stay and the results of histopathological examination, between January 2009 and May 2014. Results: The average age of patients was 50.2 ±3.5 years old. The pathologic diagnosis of lesions were 15 adrenocortical adenomas 42.8% , 10 pheochromocytomas 28.5% , 1 leiomyosarcoma 2.8% , 1 small cell adenoid carcinoma infiltration 2.8% , 1 cystic lymphangioma 2.8% , 1 miyolipom 2.8% , 1 angiomyolipoma 2.8% , 1 cavernous hemangioma 2.8% , 1 hemorrhagic cyst 2.8% , 1 mesenteric cyst 2.8% , 1 pseudocyst 2.8% , 1 endothelial vascular cyst 2.8% , 1 small cell lung cancer metastasis %2.8 and 1 cystic lymphangioma %2.8 . 5 14.2% cases required conversion to open surgery because of bleeding 4 cases and extensive fibrosis 1 case . Conclusion: Laparoscopic transperitoneal adrenalectomy has proved to be gold standard in the not only treatment of benign adrenal tumors and also alternative treatment for well-selected adrenal malignant tumors.

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