Our Surgical Treatment Results for Suprarenal Masses: Single-Center Study

Year 2025, Volume: 7 Issue: 2, 361 - 369, 09.05.2025

İbrahim Halil Öcal , Ömer Başol , Hüseyin Bilge

https://doi.org/10.37990/medr.1626581

Abstract

Aim: The study was focused on examining the results of surgical management of adrenal tumors treated at our center as well as comparing different types of surgeries especially laparoscopic and open approaches.
Material and Method: We retrospectively analyzed data from 82 patients who underwent surgery for adrenal masses at Dicle University Medical Faculty between 2010 and 2020. Patients were categorized into laparoscopic and open surgery groups based on surgical technique, and further classified as functional/non-functional and benign/malignant according to tumor characteristics. Demographic data, tumor characteristics, surgical outcomes, and complications were evaluated.
Results: The mean age of patients was 45.3±14.2 years, with females comprising 58.5% of the cohort. Laparoscopic surgery was performed in 70.7% of cases, while 29.3% underwent open surgery. The mean operative time was significantly shorter in the laparoscopic group (115.4±32.6 minutes) compared to the open surgery group (148.8±45.3 minutes) (p<0.05). Intraoperative blood loss was significantly lower in the laparoscopic group (150±75 ml vs 325±180 ml, p<0.05). Functional tumors were present in 26.8% of patients, while 73.2% had non-functional tumors. Histopathological evaluation revealed benign tumors in 84.1% of cases and malignant tumors in 15.9%.
Conclusion: Laparoscopic approach represents a safe and effective method for surgical treatment of adrenal masses in selected patients. However, open surgery should be preferred for large tumors and cases with suspected malignancy. Treatment planning should be individualized for each patient, with surgical approach selection based on tumor characteristics and patient-specific factors.

Keywords

Surgical management , adrenal masses , laparoscopic adrenalectomy

Ethical Statement

The study protocol was approved by the Ethics Committee of Dicle University Faculty of Medicine (approval number: 197, dated 25.03.2021).

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