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Surgery Research and Practice
Volume 2016, Article ID 9574391, 4 pages
http://dx.doi.org/10.1155/2016/9574391
Clinical Study

Laparoscopic Treatment of Adrenal Tumors: A Single-Center Experience with 58 Patients

1Department of General Surgery, Istanbul Education and Research Hospital, Istanbul, Turkey
2Department of Pathology, Istanbul Education and Research Hospital, Istanbul, Turkey

Received 3 July 2016; Revised 10 October 2016; Accepted 26 October 2016

Academic Editor: Hiroo Uchida

Copyright © 2016 Aziz Ari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The aim of this study is to discuss the laparoscopic approach and assess the immunohistochemical expression profiles of synaptophysin, Ki-67, and inhibin and patient outcomes in adrenal masses through a series of cases treated at our institution. Method. The study was conducted on 58 patients who were diagnosed with adrenal masses. All cases were operated on laparoscopically for adrenal masses. Results. Both inhibin and synaptophysin were found positive in 45 patients (77,6%). Ki-67 was negative in 11 patients, whereas it was found positive in 42 with a rate of 1%. The size of the masses ranged from 1 up to 9 cm (mean 4,3 ± 1,5). Urine hormone excretion was measured within normal ranges in 47 out of 58 patients (81%). Most of the diagnosed patients were harboring Cortical Adenoma (: 38; 65,5%). All of the masses were successfully resected without complication except 3 patients. Because of complications of bleeding, the operation was converted to open surgery for 2 patients. Conclusion. Morbidity, mortality, and healing were comparable, regardless of tumor size, yet involvement in both laparoscopic and adrenal surgery was required. Our results suggested that laparoscopic adrenalectomy should replace open surgery as the standard treatment for most adrenal masses.