Laparoscopic adrenalectomy: ascending the learning curve

Surgical Endoscopy
D GoiteinP Reissman

Abstract

Soon after its introduction, laparoscopic adrenalectomy (LA) became the procedure of choice in the surgical management of most adrenal tumors. The aim of this study was to assess the outcome and learning curve of the first 100 cases operated by the same surgical team. Retrospective analysis of prospectively collected data of 100 consecutive LAs was performed. The parameters studied were indication for surgery, side and length of operation, intra- and postoperative complications, size of tumor, conversion to open surgery, final diagnosis, and length of stay. Between 1996 and 2002, 100 LAs were performed in 90 patients. The procedures included 45 left, 35 right, and 10 bilateral resections for pheochromocytoma (29), Cushings syndrome (27), Conns syndrome (16), nonfunctioning adenoma (13), and others (5). Mean tumor size was 4.16 cm (range, 0.3-11). Overall major morbidity occurred in eight patients (9%); there was one mortality due to cerebrovascular accident in an elderly patient. Five cases (5%) were converted to open surgery. The mean length of stay for the whole group was 4.7 days (range, 2-25). In order to assess the learning curve, procedures were divided into three, equal consecutive groups (n = 33, 33, and 34). Intraopera...Continue Reading

References

Mar 1, 1996·World Journal of Surgery·P ReissmanS D Wexner
Jun 1, 1996·The Surgical Clinics of North America·M Gagner
Mar 30, 1999·World Journal of Urology·S J ShichmanE D Vaughan
Jul 10, 2001·Surgical Endoscopy·O ZmoraS D Wexner
Dec 1, 2001·Surgical Endoscopy·D HazzanP Reissman
Dec 12, 2002·Urology·Mihir M DesaiEmmanuel L Bravo
Aug 30, 2003·Surgical Oncology·Geeta Lal, Quan-Yang Duh

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Citations

Dec 8, 2005·Surgical Endoscopy·J M WinterR D Schulick
Mar 16, 2007·Surgical Endoscopy·D NoccaP R Fabre
Aug 21, 2007·Surgical Endoscopy·A Gil-CárdenasM F Herrera
Jul 16, 2008·Surgical Endoscopy·Antonio ToniatoFranco Mantero
Apr 30, 2008·Surgical Endoscopy·Deron J TessierL Michael Brunt
Sep 11, 2013·Surgical Endoscopy·Dimitrios StefanidisUNKNOWN Society of Gastrointestinal and Endoscopic Surgeons
Oct 11, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Anirban GuptaAnne O Lidor
Apr 1, 2009·The Indian Journal of Surgery·Abhay N DalviPadma S Menon
Nov 11, 2006·Journal of Endourology·Brent K HollenbeckJ Stuart Wolf
Aug 22, 2006·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Liam A HaveranDemetrius E M Litwin
Apr 13, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Qing YangXin Yao
Dec 2, 2010·Journal of Minimal Access Surgery·Suresh KumarAnup K Kundu
Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Philippe RizekSabita Moktan
Apr 2, 2009·Journal of Endocrinological Investigation·R CampagnacciM Guerrieri
Jul 2, 2008·Journal of Endocrinological Investigation·M GuerrieriS Perretta
Mar 13, 2010·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·C N ParnabyP J O'Dwyer
Oct 24, 2007·Surgical Oncology·Raffaele PuglieseErika Grossrubatscher
May 28, 2011·The British Journal of Surgery·S GaujouxB Dousset
Feb 28, 2015·Langenbeck's Archives of Surgery·Sandra SommereyJulia K S Gallwas
Jan 30, 2008·World Journal of Surgery·Lilah MorrisMichael Yeh
Sep 1, 2012·Journal of Robotic Surgery·Shankar R RamanAnusak Yiengpruksawan
Nov 9, 2019·Langenbeck's Archives of Surgery·Radu MihaiLaurent Brunaud
May 4, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Ji Young YouHoon Yub Kim
Mar 13, 2014·Surgery Today·Claudio RicciFrancesco Minni
May 2, 2006·American Journal of Surgery·Joe E ChanOrmond N M Panton
Feb 23, 2010·Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición·César P Ramírez-PlazaJulio Santoyo-Santoyo

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