Publication: Laparoscopic Adrenalectomy for Adrenal Mass
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Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Adrenal gland tumors, including both benign and malignant forms, are increasingly
detected due to advancements in imaging techniques. This prospective study,
conducted at Nepal Mediciti Hospital evaluated thirteen patients diagnosed with
adrenal masses, all confirmed benign via contrast-enhanced computed tomography.
Functional assessment, preoperative endocrinological and anesthesiological
evaluations and pharmacological preparations were conducted as needed. All
patients underwent successful lateral transperitoneal laparoscopic adrenalectomy,
performed by a single surgeon. The study population had a female predominance
(9 females, 4 males), with tumor sizes ranging from 2 to 9 cm. No surgeries required
conversion to open procedures, and postoperative outcomes were favorable, with
no mortality or re-operations. Complications were minimal, including transient
blood pressure elevation in one pheochromocytoma case and one postoperative
chest infection. Histopathological findings included aldosterone-producing
adenomas, cortisol-producing adenomas, and pheochromocytomas. The study
supports the continued use of laparoscopic adrenalectomy as the preferred surgical
method for adrenal tumors.
KEY WORDS
Adrenal gland, Adrenal tumor, Laparoscopic surgery
Description
Adhikari MB, Yadav DK, Maharjan B, Gautam RK, Mishra P, Basnet B, Khadga A
Department of Urology and Kidney Transplant
Nepal Mediciti Hospital, Kathmandu, Nepal
Keywords
Adrenal gland, Adrenal tumor, Laparoscopic surgery