Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes
Objective: The laparoscopic approach to large adrenal masses is becoming increasingly common. Our study aims to investigate the reliability and effectiveness of adrenalectomy performed with laparoscopic surgery in adrenal masses larger than 4 cm. Materials and Methods: Fifty-two patients who underw...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2025-03-01
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| Series: | Journal of Urological Surgery |
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| Online Access: | https://jurolsurgery.org/articles/can-laparoscopic-adrenalectomy-be-a-reliable-method-for-adrenal-masses-larger-than-4-cm-our-clinical-outcomes/doi/jus.galenos.2024.2024-9-9 |
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| author | Yusuf Şenoğlu Ahmet Yıldırım Balık Dursun Baba Arda Taşkın Taşkıran Ekrem Başaran Ali Tekin |
| author_facet | Yusuf Şenoğlu Ahmet Yıldırım Balık Dursun Baba Arda Taşkın Taşkıran Ekrem Başaran Ali Tekin |
| author_sort | Yusuf Şenoğlu |
| collection | DOAJ |
| description | Objective: The laparoscopic approach to large adrenal masses is becoming increasingly common. Our study aims to investigate the reliability and effectiveness of adrenalectomy performed with laparoscopic surgery in adrenal masses larger than 4 cm.
Materials and Methods: Fifty-two patients who underwent transperitoneal laparoscopic adrenalectomy in our clinic between January 2014 and July 2022 were evaluated retrospectively. Each patient’s age, gender, hormonal activity status, tumor size and side, hospital stay, amount of bleeding, operation time, complication rates (Clavian classification), pathology results, and surgical margin positivity were evaluated. Thirty patients with tumor size over 4 cm and 22 patients under 4 cm were compared separately.
Results: There was no statistically significant difference between the two groups regarding hospital stay (p=0.11). When the operation time and bleeding amount were compared, no statistically significant difference was found between these two groups (p=0.392, p=0.761; respectively). Although slightly more complications were seen in patients with tumors smaller than 4 cm, no statistical difference was observed (p>0.05). Surgical margin positivity was detected only in one of the patients with a tumor size of less than 4 cm, and this patient was reported to have adenoma. All operations were completed laparoscopically. No complications occurred in Clavien class 3 or above in any of the patients.
Conclusion: Our study and experience unequivocally demonstrate that transperitoneal laparoscopic adrenalectomy is not only effective but also remarkably safe for large (>4 cm) adrenal masses. |
| format | Article |
| id | doaj-art-411ebf39f5ad41c58f5b26adc4fb32c7 |
| institution | Kabale University |
| issn | 2148-9580 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj-art-411ebf39f5ad41c58f5b26adc4fb32c72025-08-20T03:55:35ZengGalenos Publishing HouseJournal of Urological Surgery2148-95802025-03-01121141810.4274/jus.galenos.2024.2024-9-9Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical OutcomesYusuf Şenoğlu0https://orcid.org/0000-0002-3072-9252Ahmet Yıldırım Balık1https://orcid.org/0000-0001-8051-5802Dursun Baba2https://orcid.org/0000-0002-4779-6777Arda Taşkın Taşkıran3https://orcid.org/0000-0003-4556-3475Ekrem Başaran4https://orcid.org/0000-0001-8319-512XAli Tekin5https://orcid.org/0000-0001-7438-0251Marmara University Faculty of Medicine, Department of Urology, İstanbul, TurkiyeDüzce University Faculty of Medicine, Department of Urology, Düzce, TurkiyeDüzce University Faculty of Medicine, Department of Urology, Düzce, TurkiyeDüzce University Faculty of Medicine, Department of Urology, Düzce, TurkiyeDüzce University Faculty of Medicine, Department of Urology, Düzce, TurkiyeAcıbadem University Atakent Hospital, Clinic of Urology, İstanbul, TurkiyeObjective: The laparoscopic approach to large adrenal masses is becoming increasingly common. Our study aims to investigate the reliability and effectiveness of adrenalectomy performed with laparoscopic surgery in adrenal masses larger than 4 cm. Materials and Methods: Fifty-two patients who underwent transperitoneal laparoscopic adrenalectomy in our clinic between January 2014 and July 2022 were evaluated retrospectively. Each patient’s age, gender, hormonal activity status, tumor size and side, hospital stay, amount of bleeding, operation time, complication rates (Clavian classification), pathology results, and surgical margin positivity were evaluated. Thirty patients with tumor size over 4 cm and 22 patients under 4 cm were compared separately. Results: There was no statistically significant difference between the two groups regarding hospital stay (p=0.11). When the operation time and bleeding amount were compared, no statistically significant difference was found between these two groups (p=0.392, p=0.761; respectively). Although slightly more complications were seen in patients with tumors smaller than 4 cm, no statistical difference was observed (p>0.05). Surgical margin positivity was detected only in one of the patients with a tumor size of less than 4 cm, and this patient was reported to have adenoma. All operations were completed laparoscopically. No complications occurred in Clavien class 3 or above in any of the patients. Conclusion: Our study and experience unequivocally demonstrate that transperitoneal laparoscopic adrenalectomy is not only effective but also remarkably safe for large (>4 cm) adrenal masses.https://jurolsurgery.org/articles/can-laparoscopic-adrenalectomy-be-a-reliable-method-for-adrenal-masses-larger-than-4-cm-our-clinical-outcomes/doi/jus.galenos.2024.2024-9-9laparoscopyadrenallarge mass |
| spellingShingle | Yusuf Şenoğlu Ahmet Yıldırım Balık Dursun Baba Arda Taşkın Taşkıran Ekrem Başaran Ali Tekin Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes Journal of Urological Surgery laparoscopy adrenal large mass |
| title | Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes |
| title_full | Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes |
| title_fullStr | Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes |
| title_full_unstemmed | Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes |
| title_short | Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes |
| title_sort | can laparoscopic adrenalectomy be a reliable method for adrenal masses larger than 4 cm our clinical outcomes |
| topic | laparoscopy adrenal large mass |
| url | https://jurolsurgery.org/articles/can-laparoscopic-adrenalectomy-be-a-reliable-method-for-adrenal-masses-larger-than-4-cm-our-clinical-outcomes/doi/jus.galenos.2024.2024-9-9 |
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