Short term outcome of Adrenal tumors managed surgically at Shaukat Khanum Memorial Cancer Hospital & Research Centre Lahore; a retrospective analysis

Background: Adrenal tumors are rare tumors. Reported prevalence of incidental tumors is increasing with the continued advances in imaging technology. Adrenalectomy remains the treatment of choice for most of functional & malignant adrenal tumours. Aim: To present our experience of surgical management of adrenal tumors and to evaluate short term outcomes of adrenalectomy. Methods: We have retrospectively reviewed the data of 29 patients from January 2010 to December 2016 managed surgically by Laparoscopic Adrenalectomy (LA), Open Adrenalectomy (OA), Laparoscopic convertec to Open adrenalectomy (LA converted to OA) at Shaukat Khanum Memorial Cancer Hospital, Lahore, Pakistan. Results: The most common presentation was incidentaloma (86.2%). 25(86.2%) had primary adrenal tumor and 04(13.8%) had metastasis to adrenal gland. 22 patient were managed with OA, 06 by LA and 01 patient of LA was converted to OA. The median maximum diameters of tumors were 6.5 (5-7cm) in LA patients and 9.5 (2.0-21cm) in OA patients. The postoperative hospital stay was 3(2-7) days in LA patients and 7 (4-9) days for OA patients. Only 02 patients after OA and 1 patient from LA converted to OA had post-op wound infection. Conclusion: Short term outcome of resectable adrenal tumours is good. LA is a safe, feasible and effective to deal with adrenal tumours.