Association of the Size of Adrenal Tumor with Safety and Efficacy of Laparoscopic Adrenalectomy

Abstract

Introduction: Laparoscopic adrenalectomy (LA) is the gold standard treatment for small adrenal tumor. But the role of laparoscopic adrenalectomy (LA) in a large tumor is still debatable due to risk of technical difficulty and malignant potential. This study was aimed to find out the association of the size of adrenal tumor with safety and efficacy of laparoscopic adrenalectomy in a tertiary level hospital. Objective: To observe the association of the size of adrenal tumor with safety and efficacy of laparoscopic adrenalectomy. Methods: Following convenience sampling 24 patients of adrenal tumor who underwent unilateral transperitoneal LA in the Department of General Surgery, Bangabandhu Sheikh Mujib Medical University, from January 2020 to December 2021 were included and classified by tumor size into 2 groups. Patients in group I had tumor size <5 cm (n = 11) and patient in group II had tumor size ≥ 5 cm (n = 13). Demographic data, perioperative outcomes, complications, and pathologic reports were compared between groups. Data were analyzed with SPSS version 23 and Chi-square (χ2) test and unpaired t test were done to find out the impaction of the size of adrenal tumor with safety and efficacy of laparoscopic adrenalectomy. Result: Average size of the tumour was 3.21±1.17 cm (range 1.5-4.9 cm) for group I, 5.58±0.69 cm (range 5-7 cm) for group II respectively. Operative time was 61.82±12.3 minutes (range 50 to 80 minutes) for group I, 68.08±9.69 minutes (range 55 to 90 minutes) for group II. Estimated blood loss, mean was 47.27±18.62 mL (range 30 to 80 mL) and 71.92±26.26 mL (range 40 to 120 mL) for groups I and II respectively. We observed no complications in groups I and II respectively. Average hospital stay was 5.2±1.8 days (range 3 to 9 days), 5.4±2.1days (range 4 to 12 days) respectively for groups I and II. Operative time and mean hospital stay were not significantly different for group II compared with group I. Conclusion: Laparoscopic transperitoneal ......