Objective: Describe the clinical and paraclinical characteristics of patients with adrenal cortex tumors and evaluate the results of laparoscopic surgery through the peritoneum to remove adrenal cortex tumors.
Research methods: A cross-sectional descriptive study was conducted on 48 patients with adrenal cortex tumors who underwent conventional laparoscopic surgery at National Hospital of Endocrinology from 2022-2025, data were collected using a structured questionnaire.
Results: Patients had an average age of 47.6 ± 11.5 years (19-69 years old); female/male ratio is 2.43/1; tumors had endocrine activity of 79.2%. Paraclinical results according to CT or MRI: right-sided tumors 54.2%, left-sided tumors 45.8%, bilateral tumors 2.1%; average tumor size 2.4 ± 0.97 cm (0.5-5 cm). Average surgery time 86.7 ± 17.96 minutes (50-120 minutes). 4/48 patients (8.3%) had complications during surgery (bleeding at the incision site); patients with abdominal drains accounted for 79.2%, the larger the tumor size, the higher the rate of abdominal drains (p = 0.007); 2/48 patients (4.2%) had deep surgical wound infections; 12.5% of patients had severe and very severe pain after surgery. Average time to defecate after surgery was 1.7 ± 0.47 days (1-2 days). The average postoperative hospital stay was 6.45 ± 0.85 days (4-8 days).
Conclusion: Regular health check-ups are an active measure to detect early adrenal tumors and the age group 40-59 years old is the age group most often detected with adrenal tumors, especially in women. Laparoscopic surgery through the peritoneum to remove adrenal tumors is a safe, highly effective, and minimally invasive method.