Laparoscopic Adrenalectomy for Adrenal Masses: Does Size Matter?

Castillo, Octavio A.; Vitagliano, Gonzálo; Secín, Fernando P.; Kerkebe, Marcelo; Arellano, Leonardo

doi:10.1016/j.urology.2007.12.019

Cited by 61 publications

(41 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The number of contraindications for this procedure is decreasing. Age above 70 years, obesity (BMI>35), ASA≥ grade III, previously undergone abdominal or retroperitoneal operations (4) or tumor size above 8 cm should not be significant contraindication for LA (5). Lately published studies also imply similar oncologic results of adrenocortical carcinoma (I and II grade WHo) treatment with LA when compared with open adrenalectomy (oA) (6).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Adrenalectomy - Assessing the Learning Curve

Fiszer¹,

Toutounchi²,

Pogorzelski³

et al. 2012

Polish Journal of Surgery

View full text Add to dashboard Cite

Laparoscopic adrenalectomy (LA) has become the "gold standard" for treatment of most of adrenal tumors in last few years. It has many benefits comparing to open surgery, but still is considered as complicated procedure requiring experienced surgical team. the aim of the study was to assess the learning curve of laparoscopic adrenalectomy and the outcome of the first consecutive 154 LA. material and methods. 154 consecutive patients undergoing LA between 2007 and 2010 were reviewed. Collected data included: patients demographics, clinical and histological diagnosis, side and length of operation, conversions to open surgery, complications and hospitalization time. Learning curve was evaluated by dividing all patients into three groups (group I -first 50 patients, group IIsecond 50 patients and group III last 54 patients). Differences between the groups were analyzed. Results. There were 154 LAs performed. Indications for LA were hormonally inactive adrenal adenoma(n=57), Conn's syndrome (n=30), Cushing's syndrome (n=28), pheochromocytoma (n=27), adrenal cyst (n=8), and others (n=4). Mean tumor size was 45.28 mm. There were 79 left-sided and 75 right-sided procedures and the average time of hospitalization was 4.64 days. Mean operative time was statistically different between the groups (216.2 min. -164.6 min. -131.9 min.; p<0.01) as well as the number of conversions to open surgery (18% -4% -3.7%; p=0.013). There was not any significant difference in the number of complications between analyzed groups (2% -2% -3.7%). conclusion. To improve the outcome of LA it is necessary to perform approximately 40 to 50 procedures.

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic Adrenalectomy - Assessing the Learning Curve

Fiszer¹,

Toutounchi²,

Pogorzelski³

et al. 2012

Polish Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…A few studies have shown a size larger than 8 cm to have an impact on operative time or LOS but not on postoperative morbidity. However, other studies have shown no association of size with postoperative outcomes, even size up to 15 cm [35][36][37][38].…”

Section: Discussionmentioning

confidence: 99%

Outcomes after laparoscopic adrenalectomy

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Patients with the following were excluded: (i) multiple tumors; (ii) recurrent tumors; (iii) tumors larger than 5 cm in maximal diameter on computed tomography; 17,18 and (iv) a BMI more than 31. 19 In the study period, a total of 45 qualified patients were found.…”

Section: Methods Patientsmentioning

confidence: 99%

Transumbilical laparoendoscopic single‐site surgery versus conventional laparoscopy for the resection of retroperitoneal paragangliomas

et al. 2015

Int J of Urology

View full text Add to dashboard Cite

Objectives: To compare transumbilical laparoendoscopic single-site surgery with conventional laparoscopy for the resection of retroperitoneal paragangliomas. Methods: In the present case-control study, we compared 11 transumbilical laparoendoscopic single-site surgery procedures with 22 conventional laparoscopy procedures carried out to treat retroperitoneal paragangliomas between June 2004 and October 2013 at Peking Union Medical Hospital, Beijing, China. Operative time, estimated intraoperative blood loss, blood transfusions, intraoperative hypertension, intraoperative hypotension, highest intraoperative systolic blood pressure, lowest intraoperative systolic blood pressure, postoperative fatigue time, postoperative systematic inflammation reaction syndrome, 24-h postoperative visual analog scale scores, postoperative hospital stay duration, and postoperative complications were recorded and analyzed. Results: There were no significant differences in patient characteristics. All surgical procedures were successfully completed in both groups. Minor complications occurred in one case in the laparoendoscopic single-site surgery group and in two cases in the conventional laparoscopy group. In the laparoendoscopic single-site surgery group, the operative time was longer than that in the conventional laparoscopy group (P = 0.001). There were no significant differences in terms of intraoperative hypertension, intraoperative hypotension, highest intraoperative systolic blood pressure, lowest intraoperative systolic blood pressure, estimated blood loss, postoperative fatigue time, postoperative hospital stay or systematic inflammation reaction syndrome between the two groups. The 24-h postoperative visual analog scale score was lower in the laparoendoscopic single-site surgery group (P = 0.002). No recurrence or metastases were observed over the duration of the postoperative follow up. Conclusions: In properly selected patients, transumbilical laparoendoscopic single-site surgery is a feasible, safe and effective procedure for the surgical treatment of retroperitoneal paragangliomas.

show abstract

Laparoscopic Adrenalectomy for Adrenal Masses: Does Size Matter?

Cited by 61 publications

References 11 publications

Laparoscopic Adrenalectomy - Assessing the Learning Curve

Laparoscopic Adrenalectomy - Assessing the Learning Curve

Outcomes after laparoscopic adrenalectomy

Transumbilical laparoendoscopic single‐site surgery versus conventional laparoscopy for the resection of retroperitoneal paragangliomas

Contact Info

Product

Resources

About