Evaluation of the Clinical Indications and Surgical Methods in Patients Who Underwent Adrenalectomy

Öz

Aim: The aim of this study was to evaluate the clinical surgical indications, surgical method selection criteria, and histopathological results of patients who were operated on with the diagnosis of adrenal mass in our general surgery clinic. Material and method: A retrospective analysis was made of the data retrieved from the hospital database of patients who underwent surgery for adrenal mass in our general surgery clinic between January 2016 and January 2021. The data examined included demographic characteristics, American Anesthesiologists Association (ASA) score, preoperative clinical diagnosis, surgical technique, perioperative complications, duration of hospital stay, and histopathological results. Results: A total of 16 patients underwent surgery for a diagnosis of adrenal mass in the specified study period. The patients comprised 13 (81.25%) females and 3 (18.75%) males with a mean age of 50.31 ± 15.06 years, and mean ASA score of 1.87 ± 0.61. Surgery was performed by open adrenalectomy (OA) in 3 (18.75%) cases and laparoscopic transperitoneal lateral adrenalectomy (LTLA) in 13 (81.25%) cases. The preoperative clinical diagnosis was functional tumour in 10 (62.5%) patients and non-functional mass in 6 (37.5%). Conclusion: Although adrenal gland tumors are extremely rare, a multidisciplinary approach is very important at the stages of diagnosis, surgical method selection, and postoperative follow-up. Surgeons should select the surgical method in which they are most experienced and trained, to be able to obtain the best results considering the risk factors.

Anahtar Kelimeler

• Adrenal tumor
• laparoscopic adrenalectomy
• open adrenalectomy

Adrenalektomi Yapılan Hastalarda Klinik Endikasyon ve Cerrahi Yöntemlerin Değerlendirilmesi

Öz

ÖZET Amaç: Bu çalışmada genel cerrahi kliniğimizde, adrenal kitle tanısı ile opere edilen hastaların klinik cerrahi endikasyonlarını, cerrahi yöntem seçim kriterlerini ve histopatolojik sonuçlarını değerlendirmeyi amaçladık. Gereç ve yöntem: Ocak 2016 -Ocak 2021 tarihleri arasında, genel cerrahi kliniğimizde adrenal kitle nedeni ile opere edilen tüm olguların demografik özellikleri, American Anesthesiologists Association (ASA) skoru, preoperatif klinik tanı, cerrahi yöntem, perioperatif komplikasyonlar, hastanede kalış süresi ve histopatolojik sonuçları retrospektif olarak değerlendirildi. Bulgular: Adrenal kitle tanısı ile opere edilen toplam hasta sayısı 16 idi. Olguların 13 (%81.25)’ ü kadın, 3 (%18.75)’ ü ise erkekti. Yaş ortalaması 50,31±15,06, ASA skoru ortalaması:1.87±0.61 idi. Olguların operasyon şekli 3 (%18.75)’ ü açık adrenalektomi (AA), 13 (%81.25)’ ü ise laparoskopik transperitoneal lateral adrenalektomi (LTLA) ile yapıldı. Preoperatif klinik tanı olarak 10 (%62.5) hastanın fonksiyonel tümörü, 6 (%37.5) hastanın ise nonfonksiyonel kitlesi vardı. Sonuç: Oldukça nadir görülen adrenal gland tümörlerinde gerek tanı aşamasında, gerek cerrahi yöntem seçiminde ve gerekse postoperatif takip sürecinde multidisipliner yaklaşımın çok önemli olduğu kanaatindeyiz. Cerrahlar risk faktörlerini de göz önüne alarak, eğitim aldıkları, en deneyimli oldukları ve en iyi sonucu alabileceği cerrahi yöntemi seçmelidir.

Anahtar Kelimeler

• Adrenal tümör
• laparoskopik adrenalektomi
• açık adrenalektomi

Kaynakça

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