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Transperitoneal Laparoskopik Adrenalektomi : İlk 28 Hastanın Retrospektif Değerlendirilmesi

Year 2022, , 16 - 22, 18.03.2022
https://doi.org/10.31832/smj.1023277

Abstract

Amaç
Laparoskopik adrenalektomi; fonksiyone ve nonfonksiyone adrenal kitlelerde sıklıkla uygulanmakta ve günümüzde uygun hasta grubunda altın standart olarak kabul edilmektedir. Bu makalede adrenal kitle tanısı ile transperitoneal laparoskopik cerrahi uygulanan hastaların erken dönem sonuçlarının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntem
0cak 2016 – Ağustos 2021 tarihleri arasında adrenal kitle tanısı ile laparoskopik cerrahi uygulanan hastaların kayıtları retrospektif olarak değerlendirildi. Hastaların kayıtları, preoperatif hasta şikayetleri, tanı yöntemleri, cerrahi teknik, erken dönem cerrahi sonuçları ve histopatolojik sonuçları açısından ayrıntılı olarak incelendi.
Bulgular
Toplam 28 hasta çalışma kapsamında değerlendirildi. Hastaların 20’si (%71,43) kadın, 8’i (%28,57) erkek ve yaş ortalamaları 50,70±12,00 idi. Lezyonların %50’si (14) sol sürrenal lokalizasyonluydu. Kitle çapı 6,43±2,11 olarak belirlenen hastalarda postoperatif en sık histopatolojik tanı adrenokortikal adenom idi. 2 hastada (% 7,14) morbidite ile karşılaşılırken mortalite olmadı.
Sonuç
Laparoskopik adrenalektomi yeterli laparoskopik cerrahi deneyimi olan ekipler tarafından başlangıç cerrahi yöntemi olarak güvenle uygulanabilir.

References

  • Referans1. Al-Jalabneh T, Al-Shawabkeh O, Al-Gwairy I, Abu-Zeitoun O, Al-Njadat I, Al-Soudi M, et al. Laparoscopic Versus Open Adrenalectomy: a Retrospective Comparative Study. Med Arch. 2021 Feb;75(1):41–4.
  • Referans2. Alshahrani MA, Bin Saeedan M, Alkhunaizan T, Aljohani IM, Azzumeea FM. Bilateral adrenal abnormalities: imaging review of different entities. Abdom Radiol. 2019 Jan 1;44(1):154–79.
  • Referans3. Song JH, Chaudhry FS, Mayo-Smith WW. The Incidental Adrenal Mass on CT: Prevalence of Adrenal Disease in 1,049 Consecutive Adrenal Masses in Patients with No Known Malignancy. American Journal of Roentgenology. 2008 May 1;190(5):1163–8.
  • Referans4. Laparoscopic Adrenalectomy in Cushing’s Syndrome and Pheochromocytoma. New England Journal of Medicine. 1992 Oct 1;327(14):1033–1033.
  • Referans5. Cardinali L, Skrami E, Catani E, Carle F, Ortenzi M, Balla A, et al. Laparoscopic transperitoneal adrenalectomy: a comparative study of different techniques for vessel sealing. Surg Endosc. 2021 Feb 1;35(2):673–83.
  • Referans6. Mercan S, Seven R, Ozarmagan S, Tezelman S. Endoscopic retroperitoneal adrenalectomy. Surgery. 1995 Dec;118(6):1071–5; discussion 1075-1076.
  • Referans7. Fendrich V, Knecht M. Minimalinvasive Operation von Nebennierentumoren. Dtsch Med Wochenschr. 2018 Aug;143(17):1235–41.
  • Referans8. Machado NO, al Qadhi H, al Wahaibi K, Rizvi SG. Laparoscopic Adrenalectomy for Large Adrenocortical Carcinoma. JSLS. 2015;19(3):e2015.00036.
  • Referans9. Prakobpon T, Santi-ngamkun A, Usawachintachit M, Ratchanon S, Sowanthip D, Panumatrassamee K. Laparoscopic transperitoneal adrenalectomy in the large adrenal tumor from single center experience. BMC Surg. 2021 Feb 1;21:68.
  • Referans10. Raffaelli M, De Crea C, Bellantone R. Laparoscopic adrenalectomy. Gland Surg. 2019 Jul;8(Suppl 1):S41–52.
  • Referans11. Uludag M. Adrenalektomide endikasyonlar ve cerrahi seçenekler. Sisli Etfal [İnternet]. 2020 [cited 2021 Nov 8]; Available from: http://www.sislietfaltip.org/jvi.aspx?un=SETB-05578
  • Referans12. Teksöz S, Kılboz BB, Bükey Y. Experience of an endocrine surgeon in laparoscopic transperitoneal adrenalectomy. BMC Surg. 2019 Sep 11;19:134.
  • Referans13. Castillo OA, Vitagliano G, Secin FP, Kerkebe M, Arellano L. Laparoscopic adrenalectomy for adrenal masses: does size matter? Urology. 2008 Jun;71(6):1138–41.
  • Referans14. Machado NO, al Qadhi H, al Wahaibi K, Rizvi SG. Laparoscopic Adrenalectomy for Large Adrenocortical Carcinoma. JSLS. 2015;19(3):e2015.00036.
  • Referans15. Gaujoux S, Bonnet S, Leconte M, Zohar S, Bertherat J, Bertagna X, et al. Risk factors for conversion and complications after unilateral laparoscopic adrenalectomy. Br J Surg. 2011 Oct;98(10):1392–9.
  • Referans16. Sebastian M, Rudnicki J. Recommendation for laparoscopic ultrasound guided laparoscopic left lateral transabdominal adrenalectomy. Gland Surg. 2020 Jun;9(3):689–94.
  • Referans17. Thompson LH, Nordenström E, Almquist M, Jacobsson H, Bergenfelz A. Risk factors for complications after adrenalectomy: results from a comprehensive national database. Langenbecks Arch Surg. 2017 Mar;402(2):315–22.
  • Referans18. Samsel R, Cichocki A, Roszkowska-Purska K, Papierska L, Koalasińska-Ćwikła A, Karpeta E, et al. Adrenal metastases – long-term results of surgical treatment, single-centre experience. Contemp Oncol (Pozn). 2020;24(1):29–33.
  • Referans19. Sastry P, Tocock A, Coonar AS. Adrenalectomy for isolated metastasis from operable non-small-cell lung cancer. Interact Cardiovasc Thorac Surg. 2014 Apr;18(4):495–7.
  • Referans20. Tuncel A, Balcı M, Köseoğlu E, Aslan Y, Güzel Ö, Keten T, et al. Transperitoneal laparoscopic adrenalectomy: five years’ experience with 35 patients. Turk J Urol. 2013 Dec;39(4):214–9.
  • Referans21. Kokorak L, Soltes M, Vladovic P, Marko L. Laparoscopic left and right adrenalectomy from an anterior approach – is there any difference? Outcomes in 176 consecutive patients. Wideochir Inne Tech Maloinwazyjne. 2016 Dec;11(4):268–73.
  • Referans22. Natkaniec M, Pędziwiatr M, Wierdak M, Białas M, Major P, Matłok M, et al. Laparoscopic adrenalectomy for pheochromocytoma is more difficult compared to other adrenal tumors. Wideochir Inne Tech Maloinwazyjne. 2015 Sep;10(3):466–71.
  • Referans23. Bai S, Yao Z, Zhu X, Li Z, Jiang Y, Wang R, et al. Comparison of transperitoneal laparoscopic versus open adrenalectomy for large pheochromocytoma: A retrospective propensity score-matched cohort study. Int J Surg. 2019 Jan;61:26–32.
  • Referans24. Brandao LF, Autorino R, Laydner H, Haber G-P, Ouzaid I, De Sio M, et al. Robotic Versus Laparoscopic Adrenalectomy: A Systematic Review and Meta-analysis. European Urology. 2014 Jun 1;65(6):1154–61.
Year 2022, , 16 - 22, 18.03.2022
https://doi.org/10.31832/smj.1023277

Abstract

References

  • Referans1. Al-Jalabneh T, Al-Shawabkeh O, Al-Gwairy I, Abu-Zeitoun O, Al-Njadat I, Al-Soudi M, et al. Laparoscopic Versus Open Adrenalectomy: a Retrospective Comparative Study. Med Arch. 2021 Feb;75(1):41–4.
  • Referans2. Alshahrani MA, Bin Saeedan M, Alkhunaizan T, Aljohani IM, Azzumeea FM. Bilateral adrenal abnormalities: imaging review of different entities. Abdom Radiol. 2019 Jan 1;44(1):154–79.
  • Referans3. Song JH, Chaudhry FS, Mayo-Smith WW. The Incidental Adrenal Mass on CT: Prevalence of Adrenal Disease in 1,049 Consecutive Adrenal Masses in Patients with No Known Malignancy. American Journal of Roentgenology. 2008 May 1;190(5):1163–8.
  • Referans4. Laparoscopic Adrenalectomy in Cushing’s Syndrome and Pheochromocytoma. New England Journal of Medicine. 1992 Oct 1;327(14):1033–1033.
  • Referans5. Cardinali L, Skrami E, Catani E, Carle F, Ortenzi M, Balla A, et al. Laparoscopic transperitoneal adrenalectomy: a comparative study of different techniques for vessel sealing. Surg Endosc. 2021 Feb 1;35(2):673–83.
  • Referans6. Mercan S, Seven R, Ozarmagan S, Tezelman S. Endoscopic retroperitoneal adrenalectomy. Surgery. 1995 Dec;118(6):1071–5; discussion 1075-1076.
  • Referans7. Fendrich V, Knecht M. Minimalinvasive Operation von Nebennierentumoren. Dtsch Med Wochenschr. 2018 Aug;143(17):1235–41.
  • Referans8. Machado NO, al Qadhi H, al Wahaibi K, Rizvi SG. Laparoscopic Adrenalectomy for Large Adrenocortical Carcinoma. JSLS. 2015;19(3):e2015.00036.
  • Referans9. Prakobpon T, Santi-ngamkun A, Usawachintachit M, Ratchanon S, Sowanthip D, Panumatrassamee K. Laparoscopic transperitoneal adrenalectomy in the large adrenal tumor from single center experience. BMC Surg. 2021 Feb 1;21:68.
  • Referans10. Raffaelli M, De Crea C, Bellantone R. Laparoscopic adrenalectomy. Gland Surg. 2019 Jul;8(Suppl 1):S41–52.
  • Referans11. Uludag M. Adrenalektomide endikasyonlar ve cerrahi seçenekler. Sisli Etfal [İnternet]. 2020 [cited 2021 Nov 8]; Available from: http://www.sislietfaltip.org/jvi.aspx?un=SETB-05578
  • Referans12. Teksöz S, Kılboz BB, Bükey Y. Experience of an endocrine surgeon in laparoscopic transperitoneal adrenalectomy. BMC Surg. 2019 Sep 11;19:134.
  • Referans13. Castillo OA, Vitagliano G, Secin FP, Kerkebe M, Arellano L. Laparoscopic adrenalectomy for adrenal masses: does size matter? Urology. 2008 Jun;71(6):1138–41.
  • Referans14. Machado NO, al Qadhi H, al Wahaibi K, Rizvi SG. Laparoscopic Adrenalectomy for Large Adrenocortical Carcinoma. JSLS. 2015;19(3):e2015.00036.
  • Referans15. Gaujoux S, Bonnet S, Leconte M, Zohar S, Bertherat J, Bertagna X, et al. Risk factors for conversion and complications after unilateral laparoscopic adrenalectomy. Br J Surg. 2011 Oct;98(10):1392–9.
  • Referans16. Sebastian M, Rudnicki J. Recommendation for laparoscopic ultrasound guided laparoscopic left lateral transabdominal adrenalectomy. Gland Surg. 2020 Jun;9(3):689–94.
  • Referans17. Thompson LH, Nordenström E, Almquist M, Jacobsson H, Bergenfelz A. Risk factors for complications after adrenalectomy: results from a comprehensive national database. Langenbecks Arch Surg. 2017 Mar;402(2):315–22.
  • Referans18. Samsel R, Cichocki A, Roszkowska-Purska K, Papierska L, Koalasińska-Ćwikła A, Karpeta E, et al. Adrenal metastases – long-term results of surgical treatment, single-centre experience. Contemp Oncol (Pozn). 2020;24(1):29–33.
  • Referans19. Sastry P, Tocock A, Coonar AS. Adrenalectomy for isolated metastasis from operable non-small-cell lung cancer. Interact Cardiovasc Thorac Surg. 2014 Apr;18(4):495–7.
  • Referans20. Tuncel A, Balcı M, Köseoğlu E, Aslan Y, Güzel Ö, Keten T, et al. Transperitoneal laparoscopic adrenalectomy: five years’ experience with 35 patients. Turk J Urol. 2013 Dec;39(4):214–9.
  • Referans21. Kokorak L, Soltes M, Vladovic P, Marko L. Laparoscopic left and right adrenalectomy from an anterior approach – is there any difference? Outcomes in 176 consecutive patients. Wideochir Inne Tech Maloinwazyjne. 2016 Dec;11(4):268–73.
  • Referans22. Natkaniec M, Pędziwiatr M, Wierdak M, Białas M, Major P, Matłok M, et al. Laparoscopic adrenalectomy for pheochromocytoma is more difficult compared to other adrenal tumors. Wideochir Inne Tech Maloinwazyjne. 2015 Sep;10(3):466–71.
  • Referans23. Bai S, Yao Z, Zhu X, Li Z, Jiang Y, Wang R, et al. Comparison of transperitoneal laparoscopic versus open adrenalectomy for large pheochromocytoma: A retrospective propensity score-matched cohort study. Int J Surg. 2019 Jan;61:26–32.
  • Referans24. Brandao LF, Autorino R, Laydner H, Haber G-P, Ouzaid I, De Sio M, et al. Robotic Versus Laparoscopic Adrenalectomy: A Systematic Review and Meta-analysis. European Urology. 2014 Jun 1;65(6):1154–61.
There are 24 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Necattin Fırat 0000-0003-0684-8187

Emrah Akın 0000-0003-0224-3834

Muhammed Doğangün This is me 0000-0003-0224-3834

Taner Demirci 0000-0002-9579-4530

Ahmet Tarık Harmantepe 0000-0003-2888-7646

Emre Sabuncu This is me 0000-0001-9162-7578

Fehmi Çelebi 0000-0003-1157-8556

Publication Date March 18, 2022
Submission Date November 14, 2021
Published in Issue Year 2022

Cite

AMA Fırat N, Akın E, Doğangün M, Demirci T, Harmantepe AT, Sabuncu E, Çelebi F. Transperitoneal Laparoskopik Adrenalektomi : İlk 28 Hastanın Retrospektif Değerlendirilmesi. Sakarya Tıp Dergisi. March 2022;12(1):16-22. doi:10.31832/smj.1023277

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