Prospective comparison of early and late experience with laparoscopic adrenalectomy

American Journal of Surgery
Joe E ChanOrmond N M Panton

Abstract

Laparoscopic adrenalectomy has gained acceptance in the treatment of adrenal tumors. We examine our initial 73 patients and highlight the change in patient selection and outcome that experience brings. A prospective study from 2000 to 2005 enrolled 73 consecutive laparoscopic adrenalectomy patients at the University of British Columbia and Vancouver General Hospitals. Forty patients in an initial cohort and 33 in the follow-up group underwent adrenalectomy. The follow-up group had a greater proportion of pheochromocytomas (33.3% versus 7.5%), larger tumors (4.25 versus 1.97 cm), and higher American Society of Anesthesiologist (ASA) scores (2.82 versus 2.38) and lengths of stay (2.35 versus 1.55 days). Minor complication rates (12% versus 5%) were also higher. Operative times and blood loss were similar. Pheochromocytoma was associated with higher ASA scores and longer lengths of stay. Operative times and blood loss were not affected by diagnosis. Increasing experience in laparoscopic adrenalectomy allows broadening of indications to include a sicker patient population.

References

Oct 1, 1992·The New England Journal of Medicine·M GagnerE Bolté
Dec 1, 1995·Surgery·S MercanS Tezelman
May 1, 1995·Archives of Surgery·R A Prinz
Jun 1, 1996·The British Journal of Surgery·L Fernández-Cruz
Oct 27, 1997·Annals of Surgery·M GagnerA Lacroix
Feb 25, 1999·World Journal of Surgery·C D SmithJ R Amerson
Dec 10, 2003·Mayo Clinic Proceedings·Dawn E JaroszewskiRonald A Hinder
Jun 26, 2004·Surgical Endoscopy·D GoiteinP Reissman
Jan 12, 2005·The Journal of Urology·Alireza Moinzadeh, Inderbir S Gill
Mar 1, 2005·International Journal of Urology : Official Journal of the Japanese Urological Association·Yukio NayaHaruo Ito
Mar 1, 2005·International Journal of Urology : Official Journal of the Japanese Urological Association·Yukio NayaHaruo Ito
May 25, 2005·Annals of Surgery·Kent W KercherB Todd Heniford

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Citations

Apr 9, 2010·Surgical Endoscopy·Peter NauW Scott Melvin
Apr 1, 2009·The Indian Journal of Surgery·Abhay N DalviPadma S Menon
Sep 25, 2008·Journal of Endourology·Chun-Hou Liao, Shih-Chieh Chueh
Apr 12, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mohammad Reza Mohammadi-FallahSepehr Hamedanchi
Nov 22, 2008·Annales d'endocrinologie·A TabarinUNKNOWN French Society of Endocrinology Consensus
Jan 30, 2008·World Journal of Surgery·Lilah MorrisMichael Yeh
Oct 24, 2007·Surgical Oncology·Raffaele PuglieseErika Grossrubatscher
Jul 22, 2016·Prilozi·Zivko PopovChedomir Dimitrovski
Aug 27, 2011·American Journal of Therapeutics·Hugo P Baglivo, Ramiro A Sánchez

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