BACKGROUND: Laparoscopic adrenalectomy has gained acceptance in the treatment of adrenal tumors. We examine our initial 73 patients and highlight the change in patient selection and outcome that experience brings. METHODS: A prospective study from 2000 to 2005 enrolled 73 consecutive laparoscopic adrenalectomy patients at the University of British Columbia and Vancouver General Hospitals. RESULTS: Forty patients in an initial cohort and 33 in the follow-up group underwent adrenalectomy. The follow-up group had a greater proportion of pheochromocytomas (33.3% versus 7.5%), larger tumors (4.25 versus 1.97 cm), and higher American Society of Anesthesiologist (ASA) scores (2.82 versus 2.38) and lengths of stay (2.35 versus 1.55 days). Minor complication rates (12% versus 5%) were also higher. Operative times and blood loss were similar. Pheochromocytoma was associated with higher ASA scores and longer lengths of stay. Operative times and blood loss were not affected by diagnosis. CONCLUSIONS: Increasing experience in laparoscopic adrenalectomy allows broadening of indications to include a sicker patient population.
BACKGROUND: Laparoscopic adrenalectomy has gained acceptance in the treatment of adrenal tumors. We examine our initial 73 patients and highlight the change in patient selection and outcome that experience brings. METHODS: A prospective study from 2000 to 2005 enrolled 73 consecutive laparoscopic adrenalectomy patients at the University of British Columbia and Vancouver General Hospitals. RESULTS: Forty patients in an initial cohort and 33 in the follow-up group underwent adrenalectomy. The follow-up group had a greater proportion of pheochromocytomas (33.3% versus 7.5%), larger tumors (4.25 versus 1.97 cm), and higher American Society of Anesthesiologist (ASA) scores (2.82 versus 2.38) and lengths of stay (2.35 versus 1.55 days). Minor complication rates (12% versus 5%) were also higher. Operative times and blood loss were similar. Pheochromocytoma was associated with higher ASA scores and longer lengths of stay. Operative times and blood loss were not affected by diagnosis. CONCLUSIONS: Increasing experience in laparoscopic adrenalectomy allows broadening of indications to include a sicker patient population.
Authors: Peter Nau; Sebastian Demyttenaere; Peter Muscarella; Vimal Narula; Jeffrey W Hazey; E Christopher Ellison; W Scott Melvin Journal: Surg Endosc Date: 2010-04-08 Impact factor: 4.584
Authors: Lilah Morris; Philip Ituarte; Rasa Zarnegar; Quan-Yang Duh; Leaque Ahmed; James Lee; William Inabnet; Goswin Meyer-Rochow; Stan Sidhu; Mark Sywak; Michael Yeh Journal: World J Surg Date: 2008-05 Impact factor: 3.352
Authors: Michał Pędziwiatr; Maciej Matłok; Jan Kulawik; Piotr Major; Piotr Budzyński; Anna Zub-Pokrowiecka; Andrzej Budzyński Journal: Wideochir Inne Tech Maloinwazyjne Date: 2013-01-21 Impact factor: 1.195
Authors: Tomasz Szydełko; Jarosław Lewandowski; Wojciech Panek; Krzysztof Tupikowski; Janusz Dembowski; Romuald Zdrojowy Journal: Cent European J Urol Date: 2012-06-12