Safety of Minimally Invasive Surgical Techniques in Large Adrenal Lesions: A Single-Centre Study


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YAZICI M. S. , Artykov M., HABERAL H. B. , Mammadaliyev T., GÜDELOĞLU A., BİLEN C. Y.

Journal of the College of Physicians and Surgeons Pakistan, vol.32, no.5, pp.565-569, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 5
  • Publication Date: 2022
  • Doi Number: 10.29271/jcpsp.2022.05.565
  • Journal Name: Journal of the College of Physicians and Surgeons Pakistan
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.565-569
  • Keywords: Laparoscopy, Robotic assisted laparoscopy, Adrenalectomy, Metastasectomy, Adrenal gland neoplasms, LAPAROSCOPIC ADRENALECTOMY, ADRENOCORTICAL CARCINOMA, SURGERY
  • Hacettepe University Affiliated: Yes

Abstract

© 2022 College of Physicians and Surgeons Pakistan. All rights reserved.Objective: To compare perioperative outcomes of minimally invasive surgery for ≥5 cm and <5 cm adrenal lesions. Study Design: Retrospective cohort study. Place and Duration of Study: Hacettepe University School of Medicine, Ankara, Turkey, between October 2007 and September 2019. Methodology: Data of 83 patients operated for adrenal lesions was collected retrospectively. Patients were categorized into two groups based on the size of the adrenal gland as <5 cm and ≥5 cm. The groups were compared in terms of perioperative outcomes. Results: The median age of the patients was 51 (41-60) years, with a female-to-male ratio of 27/56. The median follow-up period was 27 (11.5-91) months. Of 83 adrenal masses, 60 (72.3%) were in the <5 cm group and 23 (27.7%) were in the ≥5 cm group. Fifteen (18.1%) patients underwent adrenalectomy for lung cancer metastasis, whereas three (3.6%) for renal cell carcinoma metastasis. The overall rate of post-operative complications was 10.8%. Post-operative complication rates were similar in each group (p=0.433). Operation time was found to be significantly higher in patients with large adrenal masses (p=0.003). Conclusion: Minimally invasive surgical techniques have the same perioperative results in the group with adrenal lesions ≥5 cm compared to <5 cm and may be safely employed in this group of patients.