Laparoscopic Transperitoneal Adrenalectomy Results: In a Single-Center Experience

INTRODUCTION[|]Laparoscopic adrenalectomy is the gold standard for the resection of adrenal tumors. There are some technical difficulties due to the rarity in general surgical practice and the long learning curve. The present study aims to evaluate perioperative and postoperative results of laparoscopic transperitoneal adrenalectomy in a single center.[¤]METHODS[|]Between December 2008 and June 2018, 65 patients underwent laparoscopic transperitoneal adrenalectomy. Patients' demographic data, peroperative and postoperative results were retrospectively analyzed from hospital medical records.[¤]RESULTS[|]Sixty-five patients underwent laparoscopic transperitoneal adrenalectomy. In this study, there were 44 female and 21 male patients. According to the tumor types, there were forty-seven functional adrenal tumors, thirteen incidental adrenal tumors and three isolated adrenal metastasis from lung cancer. Thirty-one patients had right-sided and thirty-four patients had left-sided adrenal tumors. Conversion to open surgery was seen in five patients.[¤]DISCUSSION AND CONCLUSION[|]Laparoscopic transperitoneal adrenalectomy is a feasible and safe operative technique in adrenal tumors. Patients should be mobilized early and enforced to respiratory exercise to decrease postoperative complications. In addition to them, the surgeon should be experienced in laparoscopy to decrease the rate of conversion.[¤]