A Laparoscopic Versus Open Adrenalectomy in Ramathibodi Hospital
Naris Chotirosnramit MD*, Theerapol Angkoolpakdeekul MD*, Youwanush Kongdan MD*, Ronnarat Suvikapakornkul MD*, Surasak Leelaudomlipi MD*
Affiliation : * Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok
Objective : To compare the results of laparoscopic adrenalectomy with those of open adrenalectomy in
Ramathibodi Hospital.
Materials and Methods : Medical charts of 41 laparoscopic and 39 open adrenalectomy patients were reviewed.
Baseline characteristics and outcomes of treatment were compared between these two patient groups, using
univariable statistical tests and multivariable statistical procedures.
Results : There were significant baseline differences between the two groups in terms of gender, body mass
index, ASA class, and preoperative diagnosis. The outcomes operative time, estimated blood loss and length
of hospital stay were also significantly different. After adjusting for the effects of baseline differences,
laparoscopic adrenalectomy was associated with a significant reduction of length of hospital stay by 40%.
Conclusion : Laparoscopic adrenalectomy is a safe and effective procedure and should help hasten postopera-
tive recovery and may save the costs of hospitalization.
Keywords : Laparoscopic adrenalectomy, Hospital stay
