Page 66 - Chiang rai medical journal

นิพนธ์ต้นฉบับ
พรชัย อรุณอาศิรกุล

LAPAROSCOPIC ADRENALECTECTOMY IN RURAL HOSPITAL
SETTING: CHIANGRAI PRACHANUKROH HOSPITAL EXPERIENCE

Pornchai Aroonasirakul M.D.*

ABSTRACT

BACKGROUND
The adrenal glands are important organs that release hormones which
affect many parts of the human body. Adrenal gland tumors are very rare. The

surgical resection is the main treatment of adrenal tumors or abnormality that

improves patient’s quality of life. There has been a paradigm shift from open to
laparoscopic approaches for adrenal pathologies. Laparoscopic surgery is safe for
patients. Along with many advantages, Chiangrai Prachanukroh hospital has then

performed laparoscopic adrenalectomy since 2010.
OBJECTIVE
To study surgical success and complications of Laparoscopic Adrenalectomy.

METHODS
This study was a retrospective study. The subject was laparoscopic adrenalectomy

patients in Chiangrai Prachanukroh hospital from 2010 to 31 December 2016. We collected

the data of operating and complications of surgery.

RESULTS
There were 25 patients enrolled in this study. The proportion of females

was 4:1, mean age was 43 years and 6 months, Mean duration of surgery was 86

minutes, and mean blood loss was 46 cc. 1 case (4%) was converted to open
adrenalectomy, average of admitted 4.3 days. We found complications such as

blood loss, diaphragmatic injury, pancreatic injury, adrenal crisis.

CONCLUSION AND DISCUSSION

Laparoscopic adrenalectomy is safe and feasible in rural hospital.
Operative instrument and perioperative medical care are important role of
successful treatment.

KEYWORD Adrenal Gland, Adrenal Gland Metastasis, Adrenal Gland Cancer,

Conn's Syndrome, Cushing's Syndrome, Pheochromocytoma, Endocrine Medicine

*Surgical department, Chiangrai Prachanukroh Hospital

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