Nature of Complications of the Adrenal Tumor in Laparoscopic Adrenalectomy

Abstract

Introduction: Small adrenal tumors are treated by laparoscopic adrenalectomy. Due to technical complexity and carcinogenic potential, laparoscopic adrenalectomy (LA) is debatable for big tumors. This study examined the relationship between adrenal tumor size and safe laparoscopic adrenalectomy at a tertiary institution. Objective: To observe the Nature of complications of the adrenal tumor in laparoscopic adrenalectomy. Methods: After convenience sampling, 24 adrenal tumor patients who had unilateral transperitoneal LA at Bangabandhu Sheikh Mujib Medical University from January 2020 to December 2021 were divided by tumor size. In group I (n = 11), tumors were ≤5 cm and in group II (n = 13) size > 5 cm. Comparing group's demographic, perioperative and pathologic data. Data were examined using SPSS version 23 and Chi-square (2) and unpaired t tests to determine the impact of adrenal tumor size on laparoscopic adrenalectomy safety and efficacy. Result: Group I tumours averaged 3.21±1.17 cm (1.5-4.9 cm) and group II tumours averaged 5.58±0.69 cm (5-7 cm). Group I operative time was 61.82±12.3 minutes (50 to 80 minutes), and group II was 68.08±9.69 minutes (55 to 90 minutes). Mean blood loss was 47.27±18.62 mL (range 30 to 80 mL) and 71.92± 26.26(40-120ml) for groups I and II, respectively. I and II had no difficulties. Groups I and II had average hospital stays of 5.2±1.8 (3-9 days) and 5.4±2.1 (4-12 days). Group II's operative time and mean hospital stay didn't differ from group I's. Conclusion: Blood loss was the only major intraoperative risks associated with laparoscopic transperitoneal adrenalectomy for big adrenal tumors > 5 cm. The most important component in laparoscopically removing a large adrenal tumor is carefully selecting patients to undergo the procedure with a skilled surgeon in adrenal surgery.