Predictive Factors for Open Conversion of Laparoscopic Adrenalectomy: A 13-Year Review of 456 Cases

Abstract

Knowledge of tumor size, BMI, and tumor type can help in counseling patients undergoing laparoscopic adrenalectomy with regard to the probability of conversion. The size of the tumor was found to be the most important predictor.

Analysis of complications of laparoscopic management of abdominal diseases related to extended indications

“…The conversion rate is usually estimated at 1-5% and depends mostly on the experience of the surgeon and extent of surgery [5,7,8,11,[13][14][15]. In our material the number of conversions (2.91%) fell into this range.…”

“…This phenomenon is Table VI. Treatment of complications requiring surgical intervention often described in the literature [5,9,10,11,14,15]. More importantly, complication-driven conversions were reduced significantly, from 0.6% in the 1 st period to 0.27% and 0.26%.…”

“…In the next stage, the number of procedures performed laparoscopically increases significantly and the spectrum of indications broadens. Year after year, the rate of technically advanced procedures, such as Nissen fundoplication, cardiomyotomy, splenectomy and adrenalectomy, increases [8][9][10][11]. In spite of proven experience, the complexity of new procedures and freer qualification of patients prevent the total number of adverse events from falling substantially [8,10].…”

Laparoscopic Adrenalectomy: Lessons Learned from 306 Cases

“…Laparoscopic adrenalectomy in morbidly obese patients may be technically demanding, and these patients are at increased risk for complications as well as higher chance for open conversion 18 . In our experience, we find that except for the extra efforts that are required on the part of the surgical team, the patient's health is not more…”

Laparoscopic transperitoneal adrenalectomy: Our initial results

“…Even though contrary opinions have been advocated in the literature, higher body mass index is a risk factor necessitating conversion to open surgery. [24] Intraoperatively, histopathologically benign adrenal masses are more frequently encountered. In a series of 52 patients adrenalectomized by Zacharias et al [25] 34 patients with benign pathology had been reported.…”