Laparoscopic Adrenalectomy: 6 Years Experience in Srinagarind Hospital
Jakrapan Wittayapairoch MD*, Kriangsak Jenwitheesuk MD*, Suriya Punchai MD*, O-tur Saeseow MD*, Chaiyut Thanapaisal MD*, Krisada Paonariang MD*
Affiliation : * Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Background and
Objective : Laparoscopic adrenalectomy has become the procedure of choice to treat benign functioning and
non-functioning adrenal tumors. This study aims to present our single unit experience of laparoscopic adrenalectomy.
Material and Method: Review of all recorded clinical data was performed in patients who underwent laparoscopic
adrenalectomy for adrenal neoplasm, between January 2008 and December 2013 in Srinagarind Hospital. Patients’
demographic data, lesion size, operation time, blood loss, conversion rate, length of postoperative stay, morbidity and
mortality were collected and analyzed.
Results : Forty-six adrenalectomy were done. 11 men and 35 women, with a mean age of 44 years (range 20-69) were enrolled.
A right adrenal gland tumor in 14 cases (30.43%) and left adrenal gland tumor in 32 cases (69.57%). Overall mean
operative time was 97 minutes and mean blood loss was 61.73 ml. Conversion to open surgery was necessary in 6 of 46
patients (13.04%). Mean length of post operative hospital stay of conversion to open surgery group (9.83 days) was longer
than laparoscopic group (4.67 days) significantly p<0.05 (95% CI: -7.28 to -3.03). Tumor mean size was of 2.6 cm and most
was cortical adenoma. Morbidity rate was 2.17% and no mortality.
Conclusion : Laparoscopic adrenalectomy is the procedure of choice for benign adrenal gland tumor. Current review
confirms that it has been a safe and feasible procedure associated with minimal morbidity. Surgical skill and laparoscopic
experience are important factors to achieve consistently good outcomes.
Keywords : Adrenalectomy, Laparoscopy
