AN INTEGRATED STRATEGY FOR OPTIMIZING SURGICAL MANAGEMENT OF ADRENAL TUMORS THROUGH NOVEL SURGICAL INNOVATIONS

Abstract

Laparoscopic adrenalectomy is the standard treatment for most adrenal tumors due to its lower invasiveness, reduced complication rate, and shorter hospital stay [1,2]. However, large, hormonally active, hypervascularized, and technically complex tumors are associated with an increased risk of bleeding, hemodynamic instability, and access conversion [3,4]. Study Objective: To improve the efficacy and safety of surgical treatment of adrenal tumors by implementing improved laparoscopic techniques developed by the authors. Materials and Methods: A retrospective analysis of treatment outcomes was conducted for 90 patients with adrenal tumors operated on in 2024-2026. Clinical, hormonal, radiation, and surgical outcomes were assessed. Results: Hormonally active tumors were detected in 91.1% of patients. Standard laparoscopic adrenalectomy was performed in 66.6%, modified techniques in 22.2%, and handassisted laparoscopic surgery for tumors larger than 7 cm in 11.2%. The proposed methods reduced blood loss, expanded the indications for minimally invasive surgery, and decreased the conversion rate. Conclusion: The developed integrated approach improves surgical safety and expands the capabilities of laparoscopic adrenalectomy for complex adrenal tumors.