Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Apr 1;15(7):898.
doi: 10.3390/diagnostics15070898.

Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes

Ionela Mihai  1 , Adrian Boicean  1 , Horatiu Dura  1 , Cosmin Adrian Teodoru  1 , Dan Georgian Bratu  1 , Cristian Ichim  1 , Samuel Bogdan Todor  1 , Nicolae Bacalbasa  2 , Alina Simona Bereanu  1 , Adrian Hașegan  1
Affiliations

Intraoperative Ultrasound Guidance in Laparoscopic Adrenalectomy: A Retrospective Analysis of Perioperative Outcomes

Ionela Mihai et al. Diagnostics (Basel). .

Abstract

Background: This study aimed to evaluate the advantages of integrating intraoperative ultrasound (IOUS) into laparoscopic adrenal surgery by assessing its impact on perioperative outcomes and identifying potential complications. Methods: This retrospective study analyzed 128 patients with adrenal gland tumors who underwent a laparoscopic adrenalectomy by comparing those who received intraoperative ultrasound guidance with those who did not. The procedures were performed using either the transperitoneal or the lateral retroperitoneal approach. Results: The IOUS-guided group had significantly lower blood loss (p < 0.001) and a shorter hospitalization duration (p = 0.005) compared with the non-IOUS group. No intraoperative complications were observed in the IOUS group, whereas three complications occurred in the non-IOUS group, including peritoneal breaches and minor liver damage. The retroperitoneal approach demonstrated superior perioperative outcomes, with a shorter operative time (p < 0.001), reduced blood loss (p < 0.001), earlier resumption of oral intake and lower postoperative analgesia requirements (p < 0.001). Conclusions: Intraoperative ultrasound enhanced the surgical precision in laparoscopic adrenalectomy, which reduced the blood loss, shortened the hospital stays and minimized the intraoperative complications.

Keywords: adrenalectomy; intraoperative ultrasound; laparoscopy; outcomes; retroperitoneal; transperitoneal; tumor.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
The positioning of the four trocars.
Figure 2
Figure 2
The positioning of the five trocars for the right adrenalectomy.
Figure 3
Figure 3
Comparison between IOUS-guided and non-IOUS-guided approach regarding blood loss and hospitalization duration.
See this image and copyright information in PMC

References

    1. Royer D.F. Seeing with Sound: How Ultrasound Is Changing the Way We Look at Anatomy. In: Rea P.M., editor. Biomedical Visualisation. Volume 1138. Springer International Publishing; Cham, Switzerland: 2019. pp. 47–56. Advances in Experimental Medicine and Biology. - PubMed
    1. Kwon S.H., Gopal A.S. 3D and 4D Ultrasound: Current Progress and Future Perspectives. Curr. Cardiovasc. Imaging Rep. 2017;10:43. doi: 10.1007/s12410-017-9440-2. - DOI - PMC - PubMed
    1. Pooh R.K., Maeda K., Kurjak A., Sen C., Ebrashy A., Adra A., Dayyabu A.L., Wataganara T., De Sá R.A.M., Stanojevic M. 3D/4D Sonography—Any Safety Problem. J. Perinat. Med. 2016;44:125–129. doi: 10.1515/jpm-2015-0225. - DOI - PubMed
    1. Makuuchi M., Torzilli G., Machi J. History of Intraoperative Ultrasound. Ultrasound Med. Biol. 1998;24:1229–1242. doi: 10.1016/S0301-5629(98)00112-4. - DOI - PubMed
    1. Bezzi M., Silecchia G., De Leo A., Carbone I., Pepino D., Rossi P. Laparoscopic and Intraoperative Ultrasound. Eur. J. Radiol. 1998;27:S207–S214. doi: 10.1016/S0720-048X(98)00064-3. - DOI - PubMed

LinkOut - more resources