PERIOPERATIVE OUTCOMES OF LAPAROSCOPIC ADRENALECTOMY FOR ADRENAL TUMORS: A SINGLE-CENTER RETROSPECTIVE STUDY
DOI:
https://doi.org/10.22551/MSJ.2026.03.10Abstract
Laparoscopic adrenalectomy has become the preferred minimally invasive approach for most selected adrenal tumors. The evaluation of perioperative outcomes in a university center is essential for assessing the safety, feasibility, and clinical relevance of this technique in routine surgical practice. Aim: To assess the perioperative outcomes of laparoscopic adrenalectomy in patients with adrenal tumors treated in a university center. Materials and methods: We performed a retrospective single-center study including adult patients with adrenal tumors who underwent laparoscopic adrenalectomy between 2020 and 2025 at Sf. Spiridon County Clinical Emergency Hospital, Iași. Demographic and clinical characteristics, hormonal status, tumor size, perioperative parameters, and final histopathological findings were analyzed. Results: The study included 52 patients who underwent 53 laparoscopic adrenalectomies. The mean age was 56.8 years, and 67.3% of patients were female. Non-functioning tumors represented 50.0% of cases. Mean tumor size on preoperative imaging was 4.0 cm, mean operative time was 139.7 minutes, and mean estimated blood loss was 93.6 mL. Conversion to open surgery occurred in 26.4% of procedures and was associated with older age (p=0.045), longer operative time (p<0.001), greater estimated blood loss (p<0.001), prolonged drainage (p<0.001), and longer hospital stay (p=0.013). Postoperative complications occurred in 9.4% of procedures, and no 30-day mortality was recorded. Conclusions: Laparoscopic adrenalectomy is a feasible and safe approach for selected adrenal tumors, providing favorable postoperative outcomes in a university surgical center.
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