Category: Laparoscopic/ Robotic: Other
Introduction & Objective :
Laparoscopic adrenalectomy is the standard treatment for adrenal tumors. We describe our 10-year experience of laparoscopic adrenalectomy in a single center and compared it to the outcomes in more developed centers.
Methods : A retrospective chart review was done on all patients who underwent laparoscopic adrenalectomy from January 2006 to January 2016 at the National Kidney and Transplant Institute. We summarized the patient demographics (age and gender), tumor characteristics (size, functionality and laterality) and surgical outcomes (operative time, estimated blood loss, conversion to open and complications according to the Clavien-Dindo
Results : A total of 92 patients underwent laparoscopic adrenalectomy during the study period, with a female to male ratio of 1.4:1.0. Most tumors were left sided (53%), with a mean size of 3.8±0.75cm (Range:1.0-10 cm). The operative time is 145±35 minutes (Range:52-550 minutes). The estimated blood loss is 50±100cc (Range:30-4500 cc). The length of hospital stay is 3.1±1 (Range:2-6 days). 49% (42/92) of the adrenal were functioning: 26-Hyperaldosteronism, 14-Pheochromocytoma, and 2-Cushing’s syndrome. 97% (90/92) were benign while the two remaining tumors adrenocortical carcinoma and malignant peripheral nerve sheath tumor. There were 3 (3.3%) conversions to open. There were 8 complications (Dindo-Clavien Class II) all of which were managed conservatively and there was no mortality. Surgical outcomes of the study were compared to other centers of developed countries with published 10-year experience of laparoscopic adrenalectomy.
Our experience with laparoscopic adrenalectomy shows that it is safe and effective for adrenal tumors, achieving equivalent results as our counterparts in high volume centers in other parts of the world.
Dinno Francis Mendiola– Medical Officer III, Department of Urology, National Kidney and Transplant Institute, Philippines, Quezon City, National Capital Region, Philippines
Jose Vicente Prodigalidad– Consultant, Department of Urology, National Kidney and Transplant Institute, Quezon City, National Capital Region, Philippines
Medical Officer III
Department of Urology, National Kidney and Transplant Institute, Philippines
Quezon City, National Capital Region, Philippines
Dr. Dinno Francis Mendiola is a 3rd year Urology Resident at the National Kidney and Transplant Institute. He is a budding young urologist with heavy interest in endourology.