BACKGROUND: The widespread introduction of laparoscopic adrenalectomy (LA) may have broadened the indications for a surgical approach to adrenal lesions. The aim of this study was to evaluate how the introduction of the laparoscopic technique changed the profile of patients referred for adrenal surgery. METHODS: Some 243 patients, who underwent adrenal surgery between November 1986 and December 1999, were divided in two groups: patients in group 1 underwent surgery before the introduction of LA (November 1986 to May 1993) and those in group 2 were operated on after the introduction of LA (June 1993 to December 1999). The groups were compared with respect to gender, age, preoperative diagnosis and lesion size. RESULTS: There were 88 patients in group 1 and 155 in group 2. The mean number of adrenal operations per month was 1.1 during the first period and 2.0 during the second. No differences were found in gender and lesion size. The statistical analysis showed a significant difference in indications for surgery (P = 0.005). The patients in group 2 were older but, after excluding those with metastases, the difference between the two groups was not significant. CONCLUSION: The introduction of LA resulted in an increase in the number of patients referred. The criteria for patient selection did not change, but more patients with adrenal metastases and incidentaloma were operated on laparoscopically.
BACKGROUND: The widespread introduction of laparoscopic adrenalectomy (LA) may have broadened the indications for a surgical approach to adrenal lesions. The aim of this study was to evaluate how the introduction of the laparoscopic technique changed the profile of patients referred for adrenal surgery. METHODS: Some 243 patients, who underwent adrenal surgery between November 1986 and December 1999, were divided in two groups: patients in group 1 underwent surgery before the introduction of LA (November 1986 to May 1993) and those in group 2 were operated on after the introduction of LA (June 1993 to December 1999). The groups were compared with respect to gender, age, preoperative diagnosis and lesion size. RESULTS: There were 88 patients in group 1 and 155 in group 2. The mean number of adrenal operations per month was 1.1 during the first period and 2.0 during the second. No differences were found in gender and lesion size. The statistical analysis showed a significant difference in indications for surgery (P = 0.005). The patients in group 2 were older but, after excluding those with metastases, the difference between the two groups was not significant. CONCLUSION: The introduction of LA resulted in an increase in the number of patients referred. The criteria for patient selection did not change, but more patients with adrenal metastases and incidentaloma were operated on laparoscopically.
Authors: Antonio Toniato; Isabella Boschin; Paolo Bernante; Mirto Foletto; Anna Maria Guolo; Maria Rosa Pelizzo; Giuseppe Opocher; Enzo Ballotta; Franco Mantero Journal: Surg Endosc Date: 2008-07-15 Impact factor: 4.584
Authors: Dimitrios Stefanidis; Melanie Goldfarb; Kent W Kercher; William W Hope; William Richardson; Robert D Fanelli Journal: Surg Endosc Date: 2013-09-10 Impact factor: 4.584
Authors: Melissa M Murphy; Elan R Witkowski; Sing Chau Ng; Theodore P McDade; Joshua S Hill; Anne C Larkin; Giles F Whalen; Demetrius E Litwin; Jennifer F Tseng Journal: Surg Endosc Date: 2010-03-25 Impact factor: 4.584
Authors: Giovanni Conzo; Annunziato Tricarico; Giulio Belli; Stefano Candela; Francesco Corcione; Gianmattia Del Genio; Giuseppe Paolo Ferulano; Cristiano Giardiello; Antonio Livrea; Luigi Antonio Marzano; Alberto Porcelli; Pasquale Sperlongano; Rodolfo Vincenti; Antonietta Palazzo; Ciro De Martino; Mario Musella Journal: Can J Surg Date: 2009-12 Impact factor: 2.089
Authors: P Iacconi; G Donatini; C Iacconi; C De Bartolomeis; M Cucinotta; M Puccini; P Miccoli Journal: J Endocrinol Invest Date: 2008-10 Impact factor: 4.256