Evolution of adrenal surgery in a tertiary referral centre

Irish Journal of Medical Science
David CagneyHenry Paul Redmond

Abstract

Laparoscopic transperitoneal and retroperitoneoscopic adrenalectomy have largely replaced open adrenal surgery, particularly in benign disease. Laparoscopic surgery results in less post-operative pain, fewer surgical site complications and reduced length of hospital stay. The aim of this retrospective study was to analyse the characteristics of patients and evolution of surgical technique in adrenal surgery at Cork University Hospital over a 12-year period. All cases of adrenalectomy between January 1st, 2007 and December 31st, 2018 were retrospectively reviewed. Patient demographics, diagnosis, surgical approach, length of hospital stay, histology and complications were evaluated. Comparisons were made between open, laparoscopic transperitoneal and retroperitoneoscopic adrenalectomy cases. There were 57 adrenalectomies performed on 55 patients over the 12-year period. Twenty-six patients (46%) were male, and the mean age was 49 years (range 14-84 years). Twenty-two (39%) right-sided adrenalectomies were performed, 33 (57%) left sided and 2 (4%) patients underwent bilateral surgery. Seventeen adrenalectomies were performed using an open transperitoneal approach, 30 via a laparoscopic transperitoneal approach and 10 using the re...Continue Reading

References

Oct 1, 1992·The New England Journal of Medicine·M GagnerE Bolté
Jul 29, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·C BendinelliP Miccoli
Jun 11, 1999·The British Journal of Surgery·N E Dudley, B J Harrison
Dec 5, 2003·Annals of Surgical Oncology·Abeezar I SarelaKevin C P Conlon
Dec 12, 2007·Surgical Endoscopy·C N ParnabyP J O'Dwyer
Feb 17, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Airazat M KazaryanBjørn Edwin
Feb 22, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·George N ZografosGeorge Piaditis
Jun 4, 2011·Surgical Endoscopy·Andreas KiriakopoulosDimitrios Linos
Aug 13, 2011·European Urology·Laurent ZiniMartin Fassnacht
May 28, 2013·Surgical Endoscopy·Vasilis A ConstantinidesFausto Palazzo
May 6, 2014·Annals of Surgical Oncology·Adam HauchEmad Kandil
Jan 19, 2016·Clinical Endocrinology·Fausto PalazzoJohn Newell-Price
Jan 4, 2017·International Journal of Surgery·Konstantinos P EconomopoulosMelanie L Richards
Jun 22, 2017·World Journal of Surgery·Patrick HegerMarkus K Diener

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Citations

Sep 18, 2020·Updates in Surgery·José Ignacio Rodríguez-HermosaAntoni Codina-Cazador

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