setsci SETSCI Conference Proceedings 2687-5527 SET Technology 10.36287/setsci.4.9.035 ab8675cd-938f-40f9-8f5d-9854912bd487 Adrenalectomy with Minimally Invasive Approach Daşıran Mehmet Fatih Tokat Gaziosmanpaşa University 23 12 2019 12 37 38 © 2019 SET Technology 2019 SET Technology CC BY 4.0

Objective: Laparoscopic adrenalectomy is considered to be the standard technique for the surgical remoaval of the adrenal gland for benign conditions. This report is a four-year single centre experience with transperitoneal laparoscopic adrenalectomy. Methods: From 2015 to 2019 a total of 18 patients with a preoperative diagnosis of benign adrenal tumor were operated with minimally invasive approach. Patient’s demographics, histopathological findings, operation time, hospitalization time and complications were evaluated and compared with the literature.  Results: All of 18 operations were completed with minimally invasive approach without converting to open surgery. 5 right and 13 left adrenal glands were removed with laparoscopy. Indications were Cushing's syndrome in 9, Conn's syndrome in 6, Pheochromacytoma in 2 and a non functional adenoma in 1 patients. Histopathologic examination revealed an adenoma in 13 patients, hyperplasia in 2, Pheochromacytoma in 2 and a carcinoma in 1 patients. Avarege operation time was 122 minutes and hospital stay was 3.5 days. Conclusion: Benefits of laparoscopic adrenalectomy include shorter hospital stay, quicker recovery, less incidence of complications with reduced risk of herniation or wound separation. Laparoscopic adrenalectomy should be considered as the first choice treatment for benign adrenal tumors.

 Adrenalectomy, Adenoma, Cushing’s syndrome, Conn’s syndrome, Pheochromacytoma Adrenalectomy, Adenoma, Cushing’s syndrome, Conn’s syndrome, Pheochromacytoma Gagner M, Lacroix A, Bolté E. Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma. N Engl J Med. 1992 Oct 1;327(14):1033. Al-Otaibi KM. Laparoscopic adrenalectomy: 10 years experience. Urol Ann 2012;4:94-7. Mellon MJ, Sethi A, Sundaram CP. Laparoscopic adrenalectomy: Surgical techniques. Indian J Urol. 2008;24(4):583–589. doi:10.4103/0970-1591.44277. Siperstein AE, Berber E, Engle KL, Duh Q, Clark OH. Laparoscopic Posterior Adrenalectomy: Technical Considerations. Arch Surg. 2000;135(8):967–971. Gagner M, Pomp A, Heniford BT, Pharand D, Lacroix A Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg. 1997;226 238- 247. Bonjer HJ, Lange JF, Kazemier G, de Herder WW, Steyerberg EW, Bruining HA. Comparison of three techniques for adrenalectomy. Br J Surg. 1997 May;84(5):679-82. Mercan S, Seven R, Ozarmagan S, Tezelman S. Endoscopic retroperitoneal adrenalectomy. Surgery. 1995 Dec;118(6):1071-5; discussion 1075-6. Castillo OA, Vitagliano G, Secin FP, Kerkebe M, Arellano L. Laparoscopic Adrenalectomy for Adrenal Masses: Does Size Matter? Urology Volume 71, Issue 6, June 2008, Pages 1138-1141.