Laparoscopic Surgery for Adrenal Tumors

Abstract

Introduction: In recent years, laparoscopic adrenalectomy has been established as a widely used method of surgical treatment of adrenal tumors.Materials and Methods: In the period from 2006 to 2015, 64 patients aged 8 to 65 with adrenal gland tumors were operated on laparoscopically, including five patients with a bilateral localization. Preoperative diagnostics was conducted in collaboration with the Department of Endocrinology and Metabolic Diseases at the University Hospital `St. Marina`.Results: 64 patients underwent laparoscopic adrenalectomy. Intraoperative hypertensive crisis of up to RR 300/120 mmHg occurred in three patients. Four conversions in total were performed. Analysis of the results found a reduced need for analgesia, early rehabilitation of the patient, shortened hospital stay and the morbidity and mortality rate, and the rate of complications were comparable with these of an open adrenalectomy.Conclusion: Surgical treatment is the only option for radical treatment in patients withadrenal tumors. Laparoscopic adrenalectomy should be considered as a method of choice.