Outcomes of Transperitoneal Laparoscopic Adrenalectomy for Benign Adrenocortical Tumors at Nghe An General Friendship Hospital (2020–2025)

Abstract

Background: Adrenocortical tumor is a complex pathology that is being detected with increasing frequency. Surgery remains the most definitive treatment method. Objectives: To evaluate the outcomes of transperitoneal laparoscopic adrenalectomy for benign adrenocortical tumors at Nghe An General Friendship Hospital from 2020 to 2025. Methods: A retrospective cross-sectional descriptive study was conducted on 49 patients with benign adrenocortical tumors who underwent surgery at Nghe An General Friendship Hospital between 2020 and 2025. Results: The mean age was 50.3 ± 13.1 years; females predominated, accounting for 79.6%. The mean operative time was 80.37 ± 18.94 minutes; notably, the functioning tumor group had a statistically shorter operative time (p < 0.05). Mean blood loss was low at 48.67 ± 14.22 mL. The overall rate of intraoperative complications was 14.29% (primarily subcutaneous emphysema). The overall rate of postoperative complications was 10.2% (mainly hypokalemia); all cases were Grade II (mild, managed medically) and achieved full recovery. Conclusion: Transperitoneal laparoscopic adrenalectomy for benign adrenocortical tumors is a safe and effective procedure characterized by short operative times, minimal blood loss, and mild complications, affirming its status as the gold standard in treatment.