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Journal of General Surgery

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Research Article

Adrenalectomy for Benign and Malignant Adrenal Tumors Experience From Misurata Cancer Center

Ala Wafa, Ali Ghellai, Mohamed Elfagieh, Abdullah Juwid, Abu baker Aboshnaf

Correspondence Address :

Ala Wafa
Surgical oncology department
Misurata Cancer Center
Misurata University
Libya
Tel: 00218917164032
Email: Dr.alawafa@gmail.com

Received on: , Accepted on: , Published on:

Citation: Ala Wafa, Ali Ghellai, Mohamed Elfagieh, Abdullah Juwid, Abubaker Aboshnaf (2018). Adrenalectomy for Benign and Malignant Adrenal Tumors Experience From Misurata Cancer Center

Copyright: 2018 Ala Wafa et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Background: laparoscopic adrenalectomy is the standard management of benign adrenal tumors. Open adrenalectomy is still the gold standard surgical treatment for adrenocortical carcinoma and malignant pheochromocytoma while the role of minimal invasive surgery is still controversial. Laparoscopic adrenalectomy associated with low morbidity rate, short hospital stay and rapid recovery to work. The aim of study is identifying the advantages of Laparoscopic adrenalectomy in comparison to open adrenalectomy.
Methods: A retrospective study of 21 adrenal tumors that underwent surgical resection at Misurata Cancer Center from April 2013 up to April 2018. we compared: age, sex, marital status, past medical history, function and size of the tumor, type of surgery, duration of surgery, estimated blood loss, preparation of patient for surgery, postoperative complications, postoperative discharge day and mortality
Results: There were 21 adrenal tumors, 61.9% were females and 38.1% were males, median age of 41 year. 61.9% hypertensive patients, 71.4% functional tumors and 28.6% nonfunctional tumors. 71.4% benign tumors and 28.6% malignant. Laparoscopic adrenalectomy for 15 cases(71.4%), open adrenalectomy for 6 cases(28.6%), and 4 cases(19%) converted to open surgery, morbidity was 19% , and 30 days mortality rate was 4,7%.
Conclusion: Surgical treatment of adrenal tumors consists of laparoscopic and open adrenalectomy. The type of surgery depend on the size of the tumor and suspicious of malignancy in imaging study, Laparoscopic adrenalectomy is safe and effective for benign tumors with decreased operative time, less post-operative pain, and decreased hospital stay.

Keywords: Laparoscopic adrenalectomy, Pheochromocytoma, Functional adenoma