Our Experience in Laparoscopic Adrenalectomy and Literature Review

  • İsmail Nalbant Dışkapı Yıldırım Beyazıt Training and Research Hospital
  • Ufuk Öztürk
  • Volkan Selmi
  • Can Tuygun
  • H.N.Göksel Göktuğ
  • Kürşat Zengin
  • Hasan Bakırtaş
  • G.İnanç İmamoğlu
Keywords: Adrenal adenomas, laparoscopy, adrenalectomy


Objective: To present our experience in laparoscopic adrenalectomy.Material and Methods: We have reviewed the records of our 64 adrenalectomy cases between  August 2007 and October 2014 retrospectively. Of these cases, 63 had unilateral masses (25 right-sided, 38 left-sided) while only one patient had bilateral masses. The mean age of the patients was 46.72 years (26-81) and 44 (68.75%) patients were women and 20 (31.25%) were men. The average mass size was calculated as 35x29 mm and 48x34 mm in functional and non-functional adenomas, respectively.Results: Of the 64 patients, 48 were referred by endocrinology clinics while 16 patients were diagnosed incidentally. Fourteen patients had history of previous intra-abdominal surgery and five of them were continued as open surgery due to intraperitoneal adhesions. Mean duration of operation was 94±42 minutes and mean hospitalization time was 3.1±1,6 days. We did not encounter any major complications and recurrent or residual masses.Conclusion: Laparoscopic adrenalectomy is a safe method that can provide comfort to patients and surgeons in appropriate cases. 

Author Biography

İsmail Nalbant, Dışkapı Yıldırım Beyazıt Training and Research Hospital


Zografos GN, Vasiliadis G, Farfaras AN, Aggeli C, Digalakis M. Laparoscopic Surgery for Malignant Adrenal Tumors. JSLS 2009;13:196-202.

Smith CD, Weber CJ, Amerson JR. Laparoscopic adrenalecto¬my: New gold standard. World J Surg 1999;23:389-96.

Bhat HS, Nair TB, Sukumar S, et al. Laparoscopic adrenalec¬tomy is feasible for large adrenal masses>6 cm. Asian J Surg 2007;30:52-6.

Duh QY, Siperstein AE, Clark OH, et al. Laparoscopic adrenal¬ectomy. Comparison of the lateral and posterior approaches. Arch Surg 1996;131:870-6.

Greco F, Hoda MR, Rassweiler J, et al. Laparoscopic adrenal¬ectomy in urological centres - the experience of the German Laparoscopic Working Group. BJU Int 2011;108:1646-51.

Strebel RT, Muntener M, Sulser T. Intraoperative complications of laparoscopic adrenalectomy. World J Urol 2008;26:555-60.

Park HS, Roman SA, Sosa JA: Outcomes from 3144 adrenalec¬tomies in the United States: which matters more, surgeon vol¬ume or specialty? Arch Surg 2009;144:1060-7.

Assalia A, Gagner M: Laparoscopic adrenalectomy. British J Surg 2004;91:1259-74.

Bostancı M, Görgün M, Karaoğlan M, Çatal H. Laparoskopik adrenalektomi sonuçlarının açık adrenalektomi ile kıyaslanması. Ulusal Cerrahi Dergisi. 2009;25:150-6.

Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-13.

Permpongkosol S, Link RE, Su LM, Romero FR, Bagga HS, Pavlovich CP, et al. Complications of 2,775 urological laparoscopic procedures: 1993 to 2005. J Urol 2007;177:580-5.

Rosevear HM, Montgomery JS, Roberts WW, Wolf JS Jr. Characterization and management of postoperative hemorrhage following upper retroperitoneal laparoscopic surgery. J Urol 2006;176:1458-62.

Walz MK, Alesina PF, Wenger FA, Deligiannis A, Szuczik E, Petersenn S, et al. Posterior retroperitoneoscopic adrenalectomy-results of 560 procedures in 520 patients. Surgery 2006;140:943-8.

Fahlenkamp D, Rassweiler J, Fornara P, Frede T, Loening SA. Complications of laparoscopic procedures in urology: experience with 2,407 procedures at 4 German centers. J Urol 1999;162:765-70.

Nobuo T, Kazuo S, Tomomi U. Laparoscopic adrenalectomy for large adrenal tumors. J Endourology 2005;19:537-40.

Parnaby CN, Chong PS, Chisholm L, Farrow J, Connell JM, O’ Dwyer PJ. The role of laparoscopic adrenalectomy for adrenal tumours of 6 cm or greater. Surg Endosc 2008;22:617-21.

Zacharias M, Haese A. Transperitoneal laparoscopic adrenalectomy: outline of the preoperative management, surgical approach, and outcome. Eur Urol 2006;49:448-59.

Moinzadeh A, Gill IS. Laparoscopic radical adrenalectomy for malignancy in 31 patients. J Urol 2005;173:519-25.

Original Research