Özet:

Purpose: Comparing the intraoperative and short-term results of different surgical approaches in hormone active and non-functional adrenal masses. Method: The data of 206 patients who suffered adrenal gland surgery in our clinic between 2012 and 2020 was retrospective. Patients' pre-operative poliklinical records, screening methods, laboratory results and surgical records, duration of the surgery, amount of bleeding, duration of stay in the hospital, complications were assessed. Patients were divided into 2 groups in the form of non-functional masses (n=80) and hormonal-active masses (n=126). Results: The average age of patients was 56.5 (19-83) and 77.2 percent were women. The demographic findings between the two groups were similar. The mass dimensions were larger in functional masses (p=0,311), and the difference was more evident in the subgroup of the feochromocytoma (p=0,088). The rate of transition to open surgery in both groups is similar (0,959), and in robotic cases there is no transition to laparoscopy or conventional open surgery. Between the two groups, the duration of the surgery (p=0.669), the average amount of blood loss (p=0.834) and the average duration of hospital stay (p=0.195) were similar. With regard to the subgroup analysis of patients in the hormone active group; the duration of the surgery and the estimated blood loss between patients operated due to Conn, Cushing and Feochromositoma were not distinguished (p=0,086 and p=0,099; respectively), the duration of hospitalization was found longer in patients with Cushing (p=0,001). The result: the surgical results of hormone active adrenal masses have been found similar to non-functional masses. While it is considered that the hormonal condition of the mass does not change the degree of difficulty of the surgical procedure, it should be considered that the robotic approach should be preferred to facilitate manipulation in these masses. (SETB-2021-05-147)

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