Can Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomes

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dc.authoridTaskiran, Arda Taskin/0000-0003-4556-3475
dc.authoridBaba, Dursun/0000-0002-4779-6777
dc.contributor.authorSenoglu, Yusuf
dc.contributor.authorBalik, Ahmet Yildirim
dc.contributor.authorBaba, Dursun
dc.contributor.authorTaskiran, Arda Taskin
dc.contributor.authorBasaran, Ekrem
dc.contributor.authorTekin, Ali
dc.date.accessioned2025-10-11T20:47:39Z
dc.date.available2025-10-11T20:47:39Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractObjective: The laparoscopic approach to large adrenal masses is becoming increasingly common. Our study aims to investigate the reliability and effectiveness of adrenalectomy performed with laparoscopic surgery in adrenal masses larger than 4 cm. Materials and Methods: Fifty-two patients who underwent transperitoneal laparoscopic adrenalectomy in our clinic between January 2014 and July 2022 were evaluated retrospectively. Each patient's age, gender, hormonal activity status, tumor size and side, hospital stay, amount of bleeding, operation time, complication rates (Clavian classification), pathology results, and surgical margin positivity were evaluated. Thirty patients with tumor size over 4 cm and 22 patients under 4 cm were compared separately. Results: There was no statistically significant difference between the two groups regarding hospital stay (p=0.11). When the operation time and bleeding amount were compared, no statistically significant difference was found between these two groups (p=0.392, p=0.761; respectively). Although slightly more complications were seen in patients with tumors smaller than 4 cm, no statistical difference was observed (p>0.05). Surgical margin positivity was detected only in one of the patients with a tumor size of less than 4 cm, and this patient was reported to have adenoma. All operations were completed laparoscopically. No complications occurred in Clavien class 3 or above in any of the patients. Conclusion: Our study and experience unequivocally demonstrate that transperitoneal laparoscopic adrenalectomy is not only effective but also remarkably safe for large (>4 cm) adrenal masses.en_US
dc.identifier.doi10.4274/jus.galenos.2024.2024-9-9
dc.identifier.endpage18en_US
dc.identifier.issn2148-9580
dc.identifier.issue1en_US
dc.identifier.startpage14en_US
dc.identifier.trdizinid1316388en_US
dc.identifier.urihttps://doi.org/10.4274/jus.galenos.2024.2024-9-9
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1316388
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21502
dc.identifier.volume12en_US
dc.identifier.wosWOS:001437833600001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofJournal of Urological Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectLaparoscopyen_US
dc.subjectadrenalen_US
dc.subjectlarge massen_US
dc.titleCan Laparoscopic Adrenalectomy Be A Reliable Method for Adrenal Masses Larger than 4 Cm?: Our Clinical Outcomesen_US
dc.typeArticleen_US

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