Laparoscopic Adrenalectomy: Tailoring Approaches for the Optimal Resection of Adrenal Tumors

Abstract

In this study, we investigated the outcomes of laparoscopic approaches for adrenal tumor resection in 67 patients from a single center with a median age of 51 (range 40–79). Predominantly comprising women, the majority of patients were overweight or obese. Adrenal tumors larger than 6 cm were mostly treated using the laparoscopic transperitoneal method (p < 0.001). Our results revealed that patients subjected to the retroperitoneal approach exhibited quicker recovery, as evidenced by faster resumption of oral intake and ambulation, along with reduced intraoperative blood loss and shorter hospitalization (p-value < 0.05). In contrast, patients subjected to the transperitoneal approach experienced minimal complications, though not statistically significant, despite the technique’s intricacy and slower recovery. These findings emphasize the significance of tailoring the surgical approach to individual patient characteristics, with particular emphasis on the tumor size. The choice between the retroperitoneal and transperitoneal methods should be informed by patient-specific attributes to optimize surgical outcomes. This study underscores the need for a comprehensive evaluation of factors such as tumor characteristics and postoperative recovery when determining the most suitable laparoscopic approach for adrenal tumor resection. Ultimately, the pursuit of individualized treatment strategies will contribute to improved patient outcomes in adrenal tumor surgery.

Intraoperative Ultrasound: Bridging the Gap between Laparoscopy and Surgical Precision during 3D Laparoscopic Partial Nephrectomies

“…Thus, increasing body mass index (BMI) is attracting growing attention, especially in developed and developing countries, due to the rising incidence of obesity among the population [34]. Obesity is a real problem and often presents significant challenges for surgeons, simply because it necessitates the use of special equipment and accessories and in many cases, different surgical approaches and increased operative times [35][36][37]. Beyond this aspect, obesity is associated with an escalation of health risks, including conditions such as cardiovascular diseases, diabetes, and respiratory complications.…”

Exploring the Challenges of Using Minimal Invasive Surgery to Treat Stress Urinary Incontinence: Insights from a Retrospective Case-Control Study

“…In going beyond this pathology, we observe that while antibiotics are extremely helpful in both prophylaxis and treatment, they must be chosen with great care and in accordance with both local and international protocols, with the aim of avoiding the continually increasing resistance to them [30,31]. Excessive antibiotic therapy can also lead to dreaded complications such as Clostridioides difficile infection, which can have severely affect patient health and often leave microbiota transplantation as the only available option [32][33][34]. While future studies will certainly bring new methods of drug delivery with improved pharmacokinetics, which could reduce patient risks and reduce many complications [35].…”

Analysis of Body Mass Index and Clinicopathological Factors in Patients with Papillary Thyroid Carcinoma

“…5,6 It is a risk factor for metabolic and cardiovascular diseases, and it is also gradually recognized as a risk factor for the increasing incidence of some malignant tumors. 7,8 The incidence of TC and the prevalence of obesity are both increasing, and the two are "synchronizing the epidemic". In some studies, overweight and obesity have been considered as risk factors for TC and are associated with TC through a variety of mechanisms.…”