Usta Mehmet Arif, Ulusahin Mehmet, Alhan Etem, Cinel Akif, Nuhoglu Irfan
Department of General Surgery, Faculty of Medicine, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey.
Department of Internal Medicine, Division of Endocrinology and Metabolism, Faculty of Medicine, Farabi Hospital, Karadeniz Technical University, Trabzon, Turkey.
Ann Afr Med. 2020 Jan-Mar;19(1):26-30. doi: 10.4103/aam.aam_10_19.
The aim of this study was to present our 20-year experience regarding open adrenalectomy (OA) during laparoscopic era in a developing country Turkey.
A retrospective and descriptive study of patients with adrenal mass undergoing OA in the surgery department of our hospital, between January 1993 and January 2013, was carried out. All operations were performed by two surgeons.
Ninety patients who underwent OA in our clinic were reviewed retrospectively. The mean number of adrenal operations per month during this period was 0.38 ± 0.12. The patient included 35 men (38.8%) and 55 women (61.2%), with a mean age of 46.4 ± 17 years. The mean body mass index was 28.4 ± 5.25, and the mean American Society of Anesthesiologists score was 2.6 ± 0.57. The mean operative time was 88 ± 27 min. The mean maximum diameter of all the lesions was 4.8 ± 1.3 cm (range: 1.2-21 cm). The mean blood loss was 118 ± 23 ml during the operations. Postoperative complications were observed in four patients (5.5%). There was no mortality. The length of hospital stay was 6.2 ± 2.1 days. The most frequent type of the histological type was benign adenoma (48.8%).
OA in a developing country is a safe method as an alternative for laparoscopic adrenalectomy which has a difficult learning curve.
本研究的目的是介绍我们在发展中国家土耳其的腹腔镜时代进行开放性肾上腺切除术（OA）的20年经验。
对1993年1月至2013年1月在我院外科接受OA治疗的肾上腺肿块患者进行回顾性描述性研究。所有手术均由两名外科医生进行。
对我院90例行OA手术的患者进行回顾性分析。在此期间，每月肾上腺手术的平均例数为0.38±0.12。患者包括35名男性（38.8%）和55名女性（61.2%），平均年龄为46.4±17岁。平均体重指数为28.4±5.25，平均美国麻醉医师协会评分为2.6±0.57。平均手术时间为88±27分钟。所有病变的平均最大直径为4.8±1.3厘米（范围：1.2 - 21厘米）。手术期间平均失血量为118±23毫升。4例患者（5.5%）出现术后并发症。无死亡病例。住院时间为6.2±2.1天。最常见的组织学类型是良性腺瘤（48.8%）。
在发展中国家，开放性肾上腺切除术是一种安全的方法，可作为学习曲线较难的腹腔镜肾上腺切除术的替代方法。
