Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes
<b>Background</b>: This study aimed to evaluate the advantages of integrating intraoperative ultrasound (IOUS) into laparoscopic adrenal surgery by assessing its impact on perioperative outcomes and identifying potential complications. <b>Methods</b>: This retrospective study...
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MDPI AG
2025-04-01
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| Online Access: | https://www.mdpi.com/2075-4418/15/7/898 |
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| author | Ionela Mihai Adrian Boicean Horatiu Dura Cosmin Adrian Teodoru Dan Georgian Bratu Cristian Ichim Samuel Bogdan Todor Nicolae Bacalbasa Alina Simona Bereanu Adrian Hașegan |
| author_facet | Ionela Mihai Adrian Boicean Horatiu Dura Cosmin Adrian Teodoru Dan Georgian Bratu Cristian Ichim Samuel Bogdan Todor Nicolae Bacalbasa Alina Simona Bereanu Adrian Hașegan |
| author_sort | Ionela Mihai |
| collection | DOAJ |
| description | <b>Background</b>: This study aimed to evaluate the advantages of integrating intraoperative ultrasound (IOUS) into laparoscopic adrenal surgery by assessing its impact on perioperative outcomes and identifying potential complications. <b>Methods</b>: This retrospective study analyzed 128 patients with adrenal gland tumors who underwent a laparoscopic adrenalectomy by comparing those who received intraoperative ultrasound guidance with those who did not. The procedures were performed using either the transperitoneal or the lateral retroperitoneal approach. <b>Results</b>: The IOUS-guided group had significantly lower blood loss (<i>p</i> < 0.001) and a shorter hospitalization duration (<i>p</i> = 0.005) compared with the non-IOUS group. No intraoperative complications were observed in the IOUS group, whereas three complications occurred in the non-IOUS group, including peritoneal breaches and minor liver damage. The retroperitoneal approach demonstrated superior perioperative outcomes, with a shorter operative time (<i>p</i> < 0.001), reduced blood loss (<i>p</i> < 0.001), earlier resumption of oral intake and lower postoperative analgesia requirements (<i>p</i> < 0.001). <b>Conclusions</b>: Intraoperative ultrasound enhanced the surgical precision in laparoscopic adrenalectomy, which reduced the blood loss, shortened the hospital stays and minimized the intraoperative complications. |
| format | Article |
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| institution | OA Journals |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
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| series | Diagnostics |
| spelling | doaj-art-d1df2c9c40e44647b1edb302030b4e432025-08-20T02:09:11ZengMDPI AGDiagnostics2075-44182025-04-0115789810.3390/diagnostics15070898Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative OutcomesIonela Mihai0Adrian Boicean1Horatiu Dura2Cosmin Adrian Teodoru3Dan Georgian Bratu4Cristian Ichim5Samuel Bogdan Todor6Nicolae Bacalbasa7Alina Simona Bereanu8Adrian Hașegan9Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaSurgery Department, University of Medicine and Pharmacy “Carol Davila” Bucharest, 020021 Bucharest, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, RomaniaFaculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania<b>Background</b>: This study aimed to evaluate the advantages of integrating intraoperative ultrasound (IOUS) into laparoscopic adrenal surgery by assessing its impact on perioperative outcomes and identifying potential complications. <b>Methods</b>: This retrospective study analyzed 128 patients with adrenal gland tumors who underwent a laparoscopic adrenalectomy by comparing those who received intraoperative ultrasound guidance with those who did not. The procedures were performed using either the transperitoneal or the lateral retroperitoneal approach. <b>Results</b>: The IOUS-guided group had significantly lower blood loss (<i>p</i> < 0.001) and a shorter hospitalization duration (<i>p</i> = 0.005) compared with the non-IOUS group. No intraoperative complications were observed in the IOUS group, whereas three complications occurred in the non-IOUS group, including peritoneal breaches and minor liver damage. The retroperitoneal approach demonstrated superior perioperative outcomes, with a shorter operative time (<i>p</i> < 0.001), reduced blood loss (<i>p</i> < 0.001), earlier resumption of oral intake and lower postoperative analgesia requirements (<i>p</i> < 0.001). <b>Conclusions</b>: Intraoperative ultrasound enhanced the surgical precision in laparoscopic adrenalectomy, which reduced the blood loss, shortened the hospital stays and minimized the intraoperative complications.https://www.mdpi.com/2075-4418/15/7/898intraoperative ultrasoundadrenalectomytumorlaparoscopyretroperitonealtransperitoneal |
| spellingShingle | Ionela Mihai Adrian Boicean Horatiu Dura Cosmin Adrian Teodoru Dan Georgian Bratu Cristian Ichim Samuel Bogdan Todor Nicolae Bacalbasa Alina Simona Bereanu Adrian Hașegan Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes Diagnostics intraoperative ultrasound adrenalectomy tumor laparoscopy retroperitoneal transperitoneal |
| title | Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes |
| title_full | Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes |
| title_fullStr | Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes |
| title_full_unstemmed | Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes |
| title_short | Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes |
| title_sort | intraoperative ultrasound guidance in laparoscopic adrenalectomy a retrospective analysis of perioperative outcomes |
| topic | intraoperative ultrasound adrenalectomy tumor laparoscopy retroperitoneal transperitoneal |
| url | https://www.mdpi.com/2075-4418/15/7/898 |
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