RESULTS
Fifty-four patients who underwent single side laparoscopic adrenalectomy in our clinic were included in the study. Fifteen patients were enrolled in the elderly group and 39 in the young group according to their ages at the date of surgery. The demographic characteristics of the groups were summarised in Table 1. The mean ages of the two groups were 66.8±2.5 years and 41.2±10 years (p=0.000). While male patients ratios were 73.3% and 41% in elderly and young groups, respectively, the female patients’ ratio were 26.7% and 50% (p=0.033). No difference was observed for BMI between the groups, whereas the ASA score was higher in the elderly group (p=0.023). The ratio of the operation sides was similar between groups (p=0.565). The mean pathologic size was 48.07±12.6 mm vs 47.24±19 mm in elder and young groups, respectively (p=0.878).
Intraoperative outcomes of the groups were presented in Table 2. While the mean duration of anaesthesia was 161±42.6 min and 152.5±44.9 min in elderly and young groups (p=0.278), respectively, the mean operation time was 113.3±39.4 min vs 108.38±39.8 min (p=0.685). The amount of bleeding and hg reduce ratios were similar between groups (p=0.958 and p=0.472, respectively) (Table 2). Additionally, the various haemodynamic parameters of the patients under the anaesthesia were similar between elder and young groups, as presented in Table 2.
Postoperative outcomes of the groups were presented in Table 3. None of the patients in the groups stayed in the intensive care unit postoperatively. There was no difference in terms of the duration of hospitalization and complication ratio between groups (p=0.156 and p=0.498, respectively) (Table 3). According to the Clavien-Dindo classification, among the perioperative and postoperative period, there was one grade 1 complication (prolonged ileus, managed with medical treatment) in the elder group and one grade 2 complication (transfusion during surgery) in the young group. There was no conversion to open surgery in groups. The proportion of leaving anti-hypertensive therapy was 46.7% vs 59% in elderly and young groups, respectively (p=0.415) (Table 3).