ADRENALECTOMY IN CASES WITH A NON-FUNCTIONING ADENOMA

AUTHORS:
H. Markogiannakis (Athens, Greece) , T. Hatzitheodorou (Athens, Greece) , A.S. Zambopoulou (Athens, Greece) , M. Kalamatianou (Athens, Greece) , A. Hatzicharalambous (Athens, Greece) , D. Vouros (Athens, Greece) , M. Frountzas (Athens, Greece) , I. Manouras (Athens, Greece) , K.G. Toutouzas (Athens, Greece) , D. Theodorou (Athens, Greece)
Background:
The aim of this study was to analyze the results of adrenalectomy in patients with a non-functioning adrenal adenoma.
Methods:
This is a prospective study of all adrenalectomies for non-functiong adenomas performed in our department during the period 1/1/2010-31/12/2022.
Results:
Among 179 adrenalectomy cases, 50 (27.9%) had a diagnosis of non-functiong adenoma and composed our study group (women: 66%, mean age: 55±8.3 years, range: 32-76 years). Seventeen (34%) of them had a previous abdominal operation. Laparoscopic adrenalectomy was performed in 46 (92%), open in 2 (4%) and conversion to open procedure was required in 2 (4%). Twenty-eight (56%) tumors were located in the right and the rest 22 (44%) in the left adrenal. Mean operative and anesthesia time was 95.6±10.2 min and 128.3±14.7 min respectively. Adrenal gland diameter was 6.1±0.8 cm (range: 4-10 cm), tumor diameter was 4.5±0,5 cm (3-8 cm), while adrenal gland weight was 35±9 gr (15-102 gr). One patient (2%) presented postoperative complication, namely left major saphenous vein thrombosis together with umbilical hernia recurrence. Mean postoperative hospital stay was 2.6±0.7 days (range: 1-4 days).
Conclusions:
Adrenalectomy in non-functioning adenoma patients is safe and effective. It can be performed laparoscopically in the majority of cases with relatively short operative time and postoperative hospital stay and low complication rate.