High-Volume Center Experience with Laparoscopic Adrenalectomy over Two Decades
Background: Study aims to demonstrate single-institution two decades experience with lateral transperitoneal laparoscopic adrenalectomies. Methods: Retrospective study involved 991 operations grouped into 4 cohorts. Data was collected on the patients’ age, sex, side and size of the lesion, histopath...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/9/2335 |
| _version_ | 1797504278289448960 |
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| author | Milena Duralska Jacek Dzwonkowski Janusz Sierdziński Sławomir Nazarewski |
| author_facet | Milena Duralska Jacek Dzwonkowski Janusz Sierdziński Sławomir Nazarewski |
| author_sort | Milena Duralska |
| collection | DOAJ |
| description | Background: Study aims to demonstrate single-institution two decades experience with lateral transperitoneal laparoscopic adrenalectomies. Methods: Retrospective study involved 991 operations grouped into 4 cohorts. Data was collected on the patients’ age, sex, side and size of the lesion, histopathological type, hormonal activity, conversion to open adrenalectomy, operating time, length of hospital stay, perioperative complications. Results: The operations were right-sided (<i>n</i> = 550), left-sided (<i>n</i> = 422), bilateral (<i>n</i> = 19). Mean tumor size was 41.9 mm. Histopathological examination revealed 442 adenomas, 191 nodular hyperplasias, 218 pheochromocytomas, 33 malignancies and 126 other lesions. 541 patients had hormonally active tumors. Mean operating time for unilateral laparoscopic adrenalectomy was 141 min. Mean length of hospital stay was 5.27 days. Intraoperative complications rate was 2.3%. Conversion rate was 1.5%. 54 of patients had 70 postoperative complications. Reoperation rate was 1%. Mortality rate was 0.1%. Statistically significant differences were found in all factors, apart from age, sex, side and size of the lesion, reoperations rate (<i>p</i> > 0.05). Conversions rate, complications rates, length of hospital stay were highest in the first group (<i>p</i> < 0.05). Operating time shortened in the first decade. Conclusions: Laparoscopic adrenalectomy is a safe procedure with negligible mortality. Conversions rate, perioperative complications rate, and length of hospital stay, significantly decreased over time. |
| first_indexed | 2024-03-10T04:02:22Z |
| format | Article |
| id | doaj.art-5d76020ea55044d0939b63d9c418d3fd |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T04:02:22Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5d76020ea55044d0939b63d9c418d3fd2023-11-23T08:30:51ZengMDPI AGJournal of Clinical Medicine2077-03832022-04-01119233510.3390/jcm11092335High-Volume Center Experience with Laparoscopic Adrenalectomy over Two DecadesMilena Duralska0Jacek Dzwonkowski1Janusz Sierdziński2Sławomir Nazarewski3Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of General, Vascular and Transplant Surgery, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Medical Informatics and Telemedicine, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of General, Vascular and Transplant Surgery, Medical University of Warsaw, 02-091 Warsaw, PolandBackground: Study aims to demonstrate single-institution two decades experience with lateral transperitoneal laparoscopic adrenalectomies. Methods: Retrospective study involved 991 operations grouped into 4 cohorts. Data was collected on the patients’ age, sex, side and size of the lesion, histopathological type, hormonal activity, conversion to open adrenalectomy, operating time, length of hospital stay, perioperative complications. Results: The operations were right-sided (<i>n</i> = 550), left-sided (<i>n</i> = 422), bilateral (<i>n</i> = 19). Mean tumor size was 41.9 mm. Histopathological examination revealed 442 adenomas, 191 nodular hyperplasias, 218 pheochromocytomas, 33 malignancies and 126 other lesions. 541 patients had hormonally active tumors. Mean operating time for unilateral laparoscopic adrenalectomy was 141 min. Mean length of hospital stay was 5.27 days. Intraoperative complications rate was 2.3%. Conversion rate was 1.5%. 54 of patients had 70 postoperative complications. Reoperation rate was 1%. Mortality rate was 0.1%. Statistically significant differences were found in all factors, apart from age, sex, side and size of the lesion, reoperations rate (<i>p</i> > 0.05). Conversions rate, complications rates, length of hospital stay were highest in the first group (<i>p</i> < 0.05). Operating time shortened in the first decade. Conclusions: Laparoscopic adrenalectomy is a safe procedure with negligible mortality. Conversions rate, perioperative complications rate, and length of hospital stay, significantly decreased over time.https://www.mdpi.com/2077-0383/11/9/2335laparoscopyadrenalectomyadrenal gland neoplasmsconversion to open surgerypostoperative complicationsintraoperative complications |
| spellingShingle | Milena Duralska Jacek Dzwonkowski Janusz Sierdziński Sławomir Nazarewski High-Volume Center Experience with Laparoscopic Adrenalectomy over Two Decades Journal of Clinical Medicine laparoscopy adrenalectomy adrenal gland neoplasms conversion to open surgery postoperative complications intraoperative complications |
| title | High-Volume Center Experience with Laparoscopic Adrenalectomy over Two Decades |
| title_full | High-Volume Center Experience with Laparoscopic Adrenalectomy over Two Decades |
| title_fullStr | High-Volume Center Experience with Laparoscopic Adrenalectomy over Two Decades |
| title_full_unstemmed | High-Volume Center Experience with Laparoscopic Adrenalectomy over Two Decades |
| title_short | High-Volume Center Experience with Laparoscopic Adrenalectomy over Two Decades |
| title_sort | high volume center experience with laparoscopic adrenalectomy over two decades |
| topic | laparoscopy adrenalectomy adrenal gland neoplasms conversion to open surgery postoperative complications intraoperative complications |
| url | https://www.mdpi.com/2077-0383/11/9/2335 |
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