Laparoscopic Transperitoneal Adrenalectomy: Experience with the first 10 patients

Year 2014, Volume: 39 Issue: 4, 0 - , 22.07.2014

Tufan Çiçek Erdal Karagülle Emin Türk Canan Çiçek Demir Murat Koşan

https://doi.org/10.17826/cutf.15300

Abstract

Purpose: In this study we aimed to assess the outcomes and complications of laparoscopic transperitoneal adrenalectomy operation performed in our clinic Materials and Methods: Medical records of patients operated with laparoscopic transperitoneal adrenalectomy between February 2007 and November 2013 at Başkent University Konya Application and Research Center Urology Clinic are examined retrospectively. The demographic characteristics, preoperative and postoperative laboratory results, operation times, complications, and duration of hospital stay and follow-up were recorded. Results: A total of 10 patients underwent laparoscopic transperitoneal adrenalectomy. Seven of these were male and 3 were female. The mean age was 48 ± 17.4 (27-71) years. The operation time was 104.4 ± 36.5 (40-185) on average and the mean amount of blood loss was 43.5±121.2 ml. The average mass size was 41.6 ± 23.8 (15-90) mm. The mean duration of hospital stay was 3.8 ± 1.3 (2-6) days. The patients were followed for an average of 45.8 ± 28.7 (4-85) months. The operation was turned to open technique in two patients. Mean preoperative and postoperative hemoglobin levels of the patients were 13.38 ± 1.91 and 11.6 ± 1.7 mg/dl, respectively. Postoperative hemoglobin level was on average lower than the preoperative level (p

Keywords

Complications; laparoscopic adrenalectomy; laparoscopic retroperitoneal adrenalectomy; adrenal mass

Laparoskopik Transperitoneal Adrenalektomi: İlk On Hasta Deneyimi

Abstract

Amaç: Bu çalışmada kliniğimizde uyguladığımız laparoskopik transperitoneal adrenalektomi ameliyatının sonuçlarını ve oluşan komplikasyonları değerlendirmeyi amaçladık. Materyal ve Metod: Şubat 2007 ve Kasım 2013 yılları arasında Başkent Üniversitesi Konya Uygulama ve Araştırma Merkezi Üroloji kliniğinde laparoskopik transperitoneal adrenalektomi yapılan hastaların dosyaları retrospektif olarak incelendi. Hastaların demografik özellikleri, ameliyat öncesi ve sonrası laboratuvar sonuçları, ameliyat süreleri, oluşan komplikasyonlar, hastanede kalış ve takip süreleri kayıt edildi. Bulgular: Toplam 10 hastaya laparoskopik transperitoneal adrenalektomi yapıldığı tespit edildi. Bu hastaların 7"si erkek 3"i kadındı. Yaş ortalaması 48 ± 17.4 (27-71) yıl olarak bulundu. Ameliyat süresi ortalama 104.4 ± 36.5 (40-185) dakika, ortalama kan kaybı 43.5±121.2 ml olarak saptandı. Ortalama kitle boyutu 41.6 ± 23.8 (15-90) mm idi. Hastaların ortalama hastanede kalış süresi 3.8 ± 1.3 (2-6) gün olarak saptandı. Hastaların ortalama takip süresi 45.8 ± 28.7 (4-85) ay olarak bulundu. İki hastada açık ameliyata geçildi. Hastaların ameliyat öncesi ve sonrası hemoglobin değeri sırası ile 13.38 ± 1.91, 11.6 ± 1.7 mg/dl olarak bulundu. Ameliyat sonrası hemoglobin düzeyi ameliyat öncesine göre istatistiksel olarak anlamlı düşük olarak saptandı (p

Keywords

Komplikasyon; laparoskopik adrenalektomi; retroperitoneal adrenalektomi; adrenal kitle

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• Yazışma Adresi / Address for Correspondence: Dr. Tufan Çiçek Başkent Üniversitesi Tıp Fakültesi Üroloji Kliniği ANKARA E-mail: [e-mail] G eliş tarihi/Received on :18.03.2014
• Kabul tarihi/Accepted on: 28.04.2014