A case-controlled study of laparoscopic compared with open lateral adrenalectomy

Imai, Tsuneo; Kikumori, Toyone; Ohiwa, Mikinao; Mase, T.; Funahashi, Hiroomi

doi:10.1016/s0002-9610(99)00126-9

Cited by 160 publications

(85 citation statements)

References 15 publications

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“…Pleasing outcomes also include less postoperative pain, earlier return to activity and diet, and better cosmetic results. All these benefits compound to produce a shorter hospital stay and lower overall costs 8,9 .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Adrenalectomy: Lessons Learned from 306 Cases

Kuliš

Knežević

Pekez

et al. 2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Adrenalectomy: Lessons Learned from 306 Cases

Kuliš

Knežević

Pekez

et al. 2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…13,14 The operative time was reported by some authors to be significantly longer in laparoscopic adrenalectomy, however, this was not the case in our study. 7,16 We found that the optic magnification in laparoscopy and the clarity of anatomy made the dissection and adrenal vessels control much easier and faster. The fact that most of the open adrenalectomies were selectively done for large, suspicious tumors and in patients with previous multiple abdominal surgery may account for the insignificant difference in operative time between the two groups.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic vs. Open Adrenalectomy: Experience at King Faisal Specialist Hospital and Research Centre, Riyadh

et al. 2003

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Background:The laparoscopic approach for adrenalectomy is now widely accepted and preferred over the conventional open approach. We describe our experience of adrenalectomy and compare the results of open and laparoscopic approach. Patients and Methods: From March 1999 to March 2002, we performed 23 adrenalectomies. An anterior transabdominal approach was used for the open procedure, and a lateral transperitoneal approach for the laparoscopic procedure. Data from both groups were analyzed and compared. Results: There was no difference in tumor size or pathology between the two groups. The tumor size was smaller, operative time was longer and estimated blood loss was less in the laparoscopic procedure group, however these differences were statistically insignificant. The mean length of hospital stay was shorter (5.1 vs. 9.2 days, P< 0.01), the mean use of postoperative narcotic analgesia was less (4.2 vs. 8.1 injections, P< 0.05), and the mean time for resumption of oral intake was faster (1.17 vs. 2 days, P< 0.01) in the laparoscopic procedure group compared to the open adrenalectomy group. Conclusion: Laparoscopic adrenalectomy is a safe procedure that can be performed for most adrenal pathology. It is associated with faster recovery, less postoperative pain, and shorter hospital stay.

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“…[38][39][40] In the hands of skilled surgeons, laparoscopic adrenalectomy shows equal efficacy to open surgery with regards to outcome and improvements in short-term hospital stay and recovery. 39,41 However, open surgery should be considered for large or invasive masses.…”

Section: Surgerymentioning

confidence: 99%