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Laparoscopic Versus Open Adrenalectomy: a Retrospective Comparative Study
Talal Al-Jalabneh, Omar Al-Shawabkeh, Ibrahim Al-Gwairy, Omar Abu-Zeitoun, Ismaieel Al-Njadat, Majdi Al-Soudi, Ahmad Zarour. Abstract | | | | Background: Laparoscopic Adrenalectomy (LA) has rapidly become the gold standard in management of adrenal tumors as it has been found to be associated with better cosmoses, shorter hospital stay and rapid convalescence. Objective: The aim of this study was to compare laparoscopic and open approach to adrenal glands in terms of operative time, hospital stay, indications and blood loss at a tertiary medical center in Jordan. Methods: A retrospective comparative study which included all patients who underwent adrenalectomy (open or laparoscopic) from 2005 to 2015 at King Hussein Medical Center (KHMC). Patients demographics ,outcomes and essential study variables were extracted from patients files. Data analysis was performed using SPSS17 and Stata 10. Results: One hundred and three patients (mean age 44.9 years) were included, 90.2% of them underwent laparoscopic adrenalectomy. The size of the tumors ranged from 2 to 17 cm (mean 6.6 cm).The operative time, blood loss and hospital stay were significantly less in the laparoscopic group (P value
Key words: Laparoscopic adrenalectomy, open adrenalectomy, adrenal tumors.
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