الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Laparoscopic resection of benign & malignant adrenal tumors can be performed safely with a short Hospital stay and few complications, minimally invasive Adrenalectomy for large tumors has historically been controversial. Lesions larger than 8 cm are associated with longer operative times than smaller lesions, but they are not associated with greater blood loss, higher rates of intraoperative hemodynamic instability, or longer hospital stay. LA results in good surgical outcome without increased risks. We suggest that LA should be the preferred choice for management of adrenal neoplasms. We also suggest that surgeons experience in LA consider good. Results confirm the safety, reliability and cost effectiveness of laparoscopic more than open Adrenalectomy in the treatment of adrenal Gland pathology. It justifies the laparoscopic approach as an appropriate and viable option for patients requiring Adrenalectomy when indicated. There are no difference regarding to Age &Laterality between Laparoscopic And open Adrenalectomy in our study. Regarding to the type of techniques used in laparoscopic &open Adrenalectomy: Laparoscopic Adrenalectomy is much better cosmoses, less wound infection (one case) and with no recorded port site hernia than open Adrenalectomy which had bad cosmoses, wound infection (3 cases) and one case had incision hernia. Summary • Regarding to the median operating time in open group in our study was longer than operating time in laparoscopic group (regarding size of masses in open cases were larger than masses in laparoscopic cases). Regarding to the size of the masses in open adrenalectomy were larger than the size of masses in laparoscopic which were done in open procedures. Regarding to the Hospital stay the open group had longer post operative hospital stay duration, intra operative blood loss and delayed oral feeding due long time tissue exposed and illeus than laparoscopic group. Laparoscopic resection of benign and malignant lesions can be performed by LA safely with short hospital stay, few complications, and minimally invasive procedures. OA has a number of advantages, including wide exposure of the operative field, easy exploration of the peritoneum and contra lateral adrenal region and good control of the adrenal vein. However, the main disadvantages are the complications associated with extensive incisions such as surgical site infection, incisional hernia and the need for bowel manipulation, increasing the risk of visceral injury, ileus, bad cosmoses and post-operative adhesions. Against this background, LA has been an attractive option for both patient and surgeon with its reduced invasiveness but without compromise of the ability to visualize and resects the adrenal glands. In our study, there was one patient that required a conversion from LA to OA, and its indications including dense adhesions, bleeding uncontrolled by LA. Summary • LA has been shown to have a number of demonstrable benefits over OA, including decreased morbidity, less postoperative pain, less blood loss and shorter length of hospital stay. Additionally, it is believed that it allows Improved visualization and faster access to the adrenal vein, reducing the risk of catecholamine release. Our study has confirmed the findings of others that patients undergoing LA require a stay in hospital for significantly shorter periods of time postoperative and reduced blood loss. Regarding to complications, advantages and disadvantages; laparoscopic Adrenalectomy can be performed safely with minimal post operative pain medications needed, minimal intra operative and postoperative complications, with no significant evidence affect tumor metastasis and better cosmeses.