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).