Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome

Yalav, Orcun; Unal, Ayse Gizem; eray, ismail cem; Dalcı, Kubilay; topal, uğur; SAKMAN, GURHAN

doi:10.17826/cumj.570824

Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome

Kubilay Dalcı, (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

Uğur Topal, (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

Ayşe Gizem Ünal, (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

İsmail Cem Eray, (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

Orçun Yalav, (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

Gürhan Sakman (Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Adana, Türkiye)

Cukurova Medical Journal

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Yıl: 2019 Cilt: 44 Sayı: Ek Sayı 1 Sayfa Aralığı: 391 - 399 Metin Dili: İngilizce DOI: 10.17826/cumj.570824 İndeks Tarihi: 09-12-2020

Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome

Öz:

Purpose: The aim of this study was to compare the resultsof conventional and laparoscopic adrenalectomy in adrenalmass cases operated on during a 9-year period.Materials and Methods: A total of 81 patients whounderwent adrenalectomy were included in the study.Patients were divided into two groups as; Group 1 -conventional surgery and Group 2 - laparoscopic surgery.Two groups were compared retrospectively oncharacteristics such as; age, sex, body mass index (BMI),American Society of Anesthesiologists' score (ASA), masslocalization, mass size and hormonal activity of the mass,duration of operation, amount of bleeding in operation,duration of hospitalization, duration until food intake,perioperative mortality, early complications andreadmission to hospital within 90 days.Results: There were 22 patients in Group 1 and 59patients in Group 2. No statistically significant differencewas found between the groups in terms of age, sex, BMI,ASA score, tumor localization, indications for operation,postoperative complication, perioperative mortality andre-admittance within 90 days. The hormonal activity of themass was higher and the mass was smaller in size in Group2. The duration of operation (min), the amount of bleedingin the operation (ml), the duration until oral intake (days)and the length of hospital stay (days) were found to bestatistically significantly higher in Group 1.Conclusion: Laparoscopic adrenalectomy should be thepreferred surgical method because of its short duration ofoperation, low blood loss, early onset of oral food intakeand shorter hospital stay, as well as its safety.

Anahtar Kelime:

Adrenal kitlelerde laparoskopik ve açık cerrahi tekniklerin sonuç açısından karşılaştırılması

Öz:

Amaç: Bu çalışmada, 9 yıl içerisinde adrenal kitle nedeni ile ameliyat edilen olgularda konvansiyonel ve laparoskopik adrenalektominin sonuçlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntem: Adrenalektomi uygulanan 81 hasta çalışmaya dahil edildi. Grup 1 konvansiyonel, Grup 2 Laparaskopik cerrahi olarak hastalar iki grupa ayrıldı. İki grup, yaş, cinsiyet, vücut kitle indeksi (VKİ), Amerikan anestezistler derneği skoru (ASA), kitle lokalizasyonu, kitle büyüklüğü ve kitlenin hormonal aktivitesi, operasyon süresi, operasyonda kanama miktarı, yatış süresi, gıdaya başlama süresi, perioperatif mortalite, erken dönem komplikasyonlar ve 90 gün içinde hastaneye tekrar başvuru gibi özellikleri esas alınarak retrospektif olarak karşılaştırıldı. Bulgular: Grup 1’de 22, Grup 2’de 59 hasta mevcut idi. Gruplar arasında yaş, cinsiyet, VKİ, ASA skoru, tümör lokalizasyonu, operasyon endikasyonları, postoperatif komplikasyon, perioperatif mortalite ve 90 gün içinde tekrar başvuru açısından istatistiksel olarak anlamlı fark saptanmadı. Kitlenin hormonal aktivitesi Grup 2’de daha yüksek, boyutu ise daha küçük saptandı. Operasyon süresi (dak), ameliyatta kanama miktarı (ml), oral alım süresi (gün) ve hastanede yatış süresi (gün) Grup 1’de daha fazla ve istatiksel olarak anlamlı bulundu. Sonuç: Laparoskopik adrenalektomi uygun hastalarda, kısa operasyon süresi, az kan kaybı, oral gıdaya erken başlama süresi ve daha kısa hastanede kalış süresi gibi avantajları, ayrıca güvenli olması nedeni ile tercih edilmesi gereken cerrahi yöntem olmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Dalcı K, topal u, Unal A, eray i, Yalav O, SAKMAN G (2019). Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. , 391 - 399. 10.17826/cumj.570824
Chicago	Dalcı Kubilay,topal uğur,Unal Ayse Gizem,eray ismail cem,Yalav Orcun,SAKMAN GURHAN Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. (2019): 391 - 399. 10.17826/cumj.570824
MLA	Dalcı Kubilay,topal uğur,Unal Ayse Gizem,eray ismail cem,Yalav Orcun,SAKMAN GURHAN Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. , 2019, ss.391 - 399. 10.17826/cumj.570824
AMA	Dalcı K,topal u,Unal A,eray i,Yalav O,SAKMAN G Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. . 2019; 391 - 399. 10.17826/cumj.570824
Vancouver	Dalcı K,topal u,Unal A,eray i,Yalav O,SAKMAN G Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. . 2019; 391 - 399. 10.17826/cumj.570824
IEEE	Dalcı K,topal u,Unal A,eray i,Yalav O,SAKMAN G "Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome." , ss.391 - 399, 2019. 10.17826/cumj.570824
ISNAD	Dalcı, Kubilay vd. "Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome". (2019), 391-399. https://doi.org/10.17826/cumj.570824

APA	Dalcı K, topal u, Unal A, eray i, Yalav O, SAKMAN G (2019). Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. Cukurova Medical Journal, 44(Ek Sayı 1), 391 - 399. 10.17826/cumj.570824
Chicago	Dalcı Kubilay,topal uğur,Unal Ayse Gizem,eray ismail cem,Yalav Orcun,SAKMAN GURHAN Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. Cukurova Medical Journal 44, no.Ek Sayı 1 (2019): 391 - 399. 10.17826/cumj.570824
MLA	Dalcı Kubilay,topal uğur,Unal Ayse Gizem,eray ismail cem,Yalav Orcun,SAKMAN GURHAN Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. Cukurova Medical Journal, vol.44, no.Ek Sayı 1, 2019, ss.391 - 399. 10.17826/cumj.570824
AMA	Dalcı K,topal u,Unal A,eray i,Yalav O,SAKMAN G Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. Cukurova Medical Journal. 2019; 44(Ek Sayı 1): 391 - 399. 10.17826/cumj.570824
Vancouver	Dalcı K,topal u,Unal A,eray i,Yalav O,SAKMAN G Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome. Cukurova Medical Journal. 2019; 44(Ek Sayı 1): 391 - 399. 10.17826/cumj.570824
IEEE	Dalcı K,topal u,Unal A,eray i,Yalav O,SAKMAN G "Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome." Cukurova Medical Journal, 44, ss.391 - 399, 2019. 10.17826/cumj.570824
ISNAD	Dalcı, Kubilay vd. "Comparison of laparoscopic and open surgical techniques in adrenal masses in terms of outcome". Cukurova Medical Journal 44/Ek Sayı 1 (2019), 391-399. https://doi.org/10.17826/cumj.570824