Open and Laparoscopic Adrenalectomy: Analysis of the National Surgical Quality Improvement Program

Lee, James; El‐Tamer, Mahmoud; Schifftner, Tracy L.; Turrentine, Florence E.; Henderson, William G.; Khuri, Shukri F.; Hanks, John B.; Inabnet, William B.

doi:10.1016/j.jamcollsurg.2008.01.018

Cited by 158 publications

(115 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Surgical resection were taken in our series in patients with the following characteristics: hormonally active adrenal cysts, cystic lesion greater than 4 cm, smaller cysts enlarged at least by 1cm per year, cysts with image changes like haemorrhage and calcifi cation. Recently, multiple studies have described the minimally invasive approaches had shorter hospital stays, less blood loss, and enhanced cosmesis (6,(25)(26)(27). In the present series, most open excisions were managed in the early time and great majority were submitted to laparoscopic excisions in recent years.…”

Section: Discussionmentioning

confidence: 74%

Surgical management of adrenal cysts: a single-institution experience

et al. 2014

View full text Add to dashboard Cite

ARTICLE INfO ______________________________________________________________ ______________________Objective: To analyze surgical methods and evaluate treatment efficacy and safety for managing adrenal cystic lesions. Materials and methods:All patients presenting with adrenal lesions of the West China Hospital were reviewed retrospectively from January 2003 to April 2013 and 47 were diagnosed as adrenal cysts. Basic information, clinical history, physical examination, laboratory investigations, abdominal ultrasound and enhanced computed tomography were detailed noted. Cysts with different surgical management were analyzed and surgery option operative time, postoperative complications and after-surgery hospital stay were all noted. The final diagnosis was judged by histopathology. Patients were followed from 3 month to 10 years. Results: All the 47 patients with a mean age of 43.8 years were managed by surgical intervention. Compared laparoscopic technology with open technology, the laparoscopic has the advantage of a shorter operation time, shorter hospital stay after surgery and enhanced cosmesis. The histopathologic result was: 23 (50%) were endothelial cysts and 16 (35%) were pseudocysts. One patient had evidence to recurrence at the followed-up stage. Conclusion: Adrenal cysts are rare and with the development of imaging techniques many of these are diagnosed incidentally. CT has advantages in detecting the cysts with haemorrhage, intracystic debris, calcification and mixed adrenal mass. Minimally invasive surgery offers equivalent efficacy to traditional open procedures, while providing a shorter operation time, shorter convalescence and improved cosmesis. Patients after surgical resection should be followed up closely especially if functional cysts and histopathology of cystic tumor are present.

show abstract

Section: Discussionmentioning

confidence: 74%

Surgical management of adrenal cysts: a single-institution experience

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Since laparoscopic adrenalectomy was first described in 1992 by Gagner et al [1], this minimally invasive procedure has replaced open adrenalectomy as the standard operation for benign adrenal disease over the last two decades [2][3][4]. Although less invasive approaches, such as single-site access, natural orifice transluminal endoscopic surgery (NOTES) and robotic-assisted surgery, have been developed, several limitations, including further refinements in instrumentation and operative techniques, hamper the broad acceptance of these new techniques [14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…Since laparoscopic adrenalectomy was first described in 1992 [1], several studies have demonstrated that this minimally invasive procedure can achieve the same results as open surgical procedures with less trauma and lower mortality [2][3][4]. At present, it has been considered the gold standard for the treatment of benign adrenal disease [5].…”

Section: Introductionmentioning

confidence: 99%

Subcostal Port Placement for Lateral Transperitoneoscopic Adrenalectomy: Assessment of Surgical Efficacy

Zhou

Fan

et al. 2015

Indian J Surg

View full text Add to dashboard Cite

The purpose of this study was to evaluate the safety and efficacy of the modified lateral transperitoneal (MLTP) approach in comparison with the traditional lateral transperitoneal (LTP) and lateral retroperitoneal (LRP) approach. From January 2008 to December 2012, 287 patients underwent laparoscopic adrenalectomy, and the MLTP, LTP and LRP approaches were used in 93, 96 and 98 patients. The patients' demographics and surgical outcomes from the three approaches were reviewed and compared. There were no significant differences in the general demographic or postoperative recovery variables among the three groups. However, the average volume of blood lost was lower for the MLTP group than for the other two groups. Additionally, the average operative time was significantly shorter in the MLTP group than in the LTP group and slightly shorter than in the LRP group, but the differences were not statistically significant. This study shows that the MLTP approach is a safe and effective procedure which is associated with shorter operative time and lower volumes of blood loss.

show abstract

“…This includes aldosteronoma, incidentaloma, Cushing's syndrome, adrenal cyst, hormone -secreting tumours, myelolipomas, ganglioneuromas, and other conditions such as adrenal haemorrhage and Conn's syndrome (Fernández-Cruz et al 1996;Gill 2001;Ramacciato et al 2008;Kuruba and Gallagher 2008;Lee et al 2008;Turner and Miskulin 2009). However, bilateral LA is effective for bilateral adrenal hyperplasia, neoplasmas or Cushing's syndrome (Fernández-Cruz et al 1996).…”

Section: Indicationsmentioning

confidence: 99%

“…The advantages of LA versus open adrenalectomy include reduced hospital stay and wound morbidity, decreased transfusion requirements, postoperative pain and complications (Fernández-Cruz et al 1996;Lee et al 2008). Another major breakthrough of the laparoscopic technique is that it can even be performed, in selective cases, as an outpatient procedure by highly skilled surgeons as was first described by Gill et al (2000).…”

mentioning

confidence: 99%