Results of adrenal surgery. Data of a Spanish National Survey.

Langenbeck's Archives of Surgery
Jesús María VillarFrancisco Herrera

Abstract

Given the availability of laparoscopy and the rising detection of incidentalomas, indications for adrenalectomy may be changing. The Endocrine Surgery Section of the Spanish Association of Surgeons designed a survey to assess its indications, techniques, and results in Spanish Surgical Departments. Collected data included hospital and department type, yearly hospital volume of procedures; location studies and preoperative preparation performed, indications, surgical approach and instruments used, and results in terms of morbidity and overall hospital stay. The analysis included a comparison between results of high- or low-volume centers and surgeons, using the Student's t test for quantitative and chi-square test for qualitative variables. Level of significance was set at 0.05. Nineteen centers returned the questionnaire, including 155 adrenalectomies performed in 2008. Most frequent indications were pheochromocytoma (23.2%), aldosteronoma (16.7%), incidentaloma (12.2%), metastasis (10.3%), Cushing adenoma (9.6%), and carcinoma (3.8%). Laparoscopy was performed in 83.9% of cases (9.4% required conversion to laparotomy). Four patients required urgent reoperation. Average hospital stay: 4.6 days (3.3 days after laparoscopy, 7 day...Continue Reading

References

Dec 3, 2003·The New England Journal of Medicine·John D BirkmeyerF Lee Lucas
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Citations

Aug 17, 2010·Langenbeck's Archives of Surgery·Bruno Niederle
Nov 10, 2011·Langenbeck's Archives of Surgery·Celestino Pio LombardiRocco Bellantone
Sep 13, 2011·Cirugía española·Jesús María Villar del MoralManuel Durán Poveda
Aug 5, 2016·Arab Journal of Urology·Badr SerjiHadj Omar El Malki
Nov 13, 2014·Current Opinion in Oncology·Rocco BellantoneMarco Raffaelli
May 4, 2013·European Journal of Endocrinology·T M A KerkhofsUNKNOWN Dutch Adrenal Network
Jun 4, 2014·The Journal of Clinical Endocrinology and Metabolism·Jacques W M LendersWilliam F Young
Aug 20, 2019·The British Journal of Surgery·N PatelUNKNOWN British Association of Endocrine and Thyroid Surgeons
Nov 9, 2019·Langenbeck's Archives of Surgery·Radu MihaiLaurent Brunaud
Sep 18, 2020·Updates in Surgery·José Ignacio Rodríguez-HermosaAntoni Codina-Cazador
Sep 11, 2020·Langenbeck's Archives of Surgery·José Ignacio Rodríguez-HermosaAntoni Codina-Cazador
Aug 17, 2011·Current Opinion in Endocrinology, Diabetes, and Obesity

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