Comparison of surgical outcomes in adrenal vein control between advanced bipolar vessel sealer and titanium clips in laparoscopic transperitoneal adrenalectomy for aldosterone- producing adenoma: A retrospective cohort study

Jirayu Chalermpong; Tanet Thaidumrong

doi:10.52786/isu.a.118

Authors

Jirayu Chalermpong Division of Urology, Department of Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand
Tanet Thaidumrong Division of Urology, Department of Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand

DOI:

https://doi.org/10.52786/isu.a.118

Keywords:

Laparoscopic adrenalectomy, titanium clip, LigaSureTM, aldosterone-producing adenoma

Abstract

Objective: To compare the outcomes of laparoscopic adrenalectomy carried out for aldosterone-producing adenoma (APA) with a focus on the controlled manipulation of the adrenal vein using LigaSureTM versus titanium clips.

Materials and Methods: This retrospective study included patients diagnosed with APA undergoing laparoscopic adrenalectomy from January 1, 2015, to October 30, 2023. A total of 84 patients were divided into two groups. In the first 42 patients (Group 1) titanium clips were used for adrenal vein control, while in the subsequent 42 patients (Group 2) LigaSureTM (clipless) was used. Procedures were performed by a single surgeon at Rajavithi Hospital. The primary outcomes used to evaluate the overall effectiveness of adrenal vein control were operative time, estimated blood loss, and duration of hospital stay.

Results: Statistically significant differences were observed favoring the LigaSureTM group in operative time (100.83 ± 21.26 minutes vs. 128.69 ± 29.85 minutes, p < 0.001), estimated blood loss (9.10 ± 8.50 ml vs. 38.69 ± 40.84 ml, p < 0.001), and hospital stay (4.19 ± 0.89 days vs. 5.57 ± 1.81 days, p < 0.001).

Conclusion: LigaSureTM demonstrated superior efficacy over titanium clips with regard to adrenal vein control during laparoscopic adrenalectomy in patients with APA, offering shorter surgery time, reduced blood loss, and shorter hospital stays.

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