ArticleLangenbeck's archives of surgery2015
Laparoscopic adrenalectomy--10-year experience at a teaching hospital.
Article in Langenbeck's archives of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 42 citations in OpenAlex.
- Lateral transperitoneal laparoscopic adrenalectomy: A single-centre experience of 21 procedures.Open medicine (Warsaw, Poland) · 2025Article
- Comparison of postoperative biochemical indicators and surgical result between partial adrenalectomy and total adrenalectomy: a systematic review and meta-analysis.Gland surgery · 2024Article
- Safety and surgical outcomes of robotic adrenalectomy from a 15-year experience at a single institution.Scientific reports · 2024Article
- Adrenalectomy approach and outcomes according to surgeon volume.American journal of surgery · 2024Article
- Laparoscopic approach of pediatric adrenal tumors.Pediatric surgery international · 2022Article
- Pheochromocytoma manifesting as cortical blindness secondary to PRES with associated TMA: a case report and literature review.BMC endocrine disorders · 2022Review
- Not all laparoscopic adrenalectomies are equal: analysis of postoperative outcomes based on tumor functionality.Surgical endoscopy · 2021Article
- Should surgical drainage after lateral transperitoneal laparoscopic adrenalectomy be routine?-A retrospective comparative study.Gland surgery · 2021Article
- The learning curve for the second generation of laparoscopic surgeons: lesson learned from a large series of laparoscopic adrenalectomies.Surgical endoscopy · 2021Observational
- Factors associated with prolonged hospital stay after laparoscopic adrenalectomy.Updates in surgery · 2021Article
- Three-dimensional (3D) system versus two-dimensional (2D) system for laparoscopic resection of adrenal tumors: a case-control study.Langenbeck's archives of surgery · 2020Article
- Volume-outcome correlation in adrenal surgery-an ESES consensus statement.Langenbeck's archives of surgery · 2019Review
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- Risk Factors Associated With Perioperative Complications and Prolonged Length of Stay After Laparoscopic Adrenalectomy.JAMA surgery · 2018Article
- Risk factors for complications after adrenalectomy: results from a comprehensive national database.Langenbeck's archives of surgery · 2017Article
- Laparoscopic adrenalectomy for ganglioneuroma presenting as an adrenal incidentaloma.Journal of minimal access surgeryArticle
- Role of bilateral adrenalectomy in adrenocorticotropic hormone-dependent Cushing's syndrome.Indian journal of endocrinology and metabolismArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive adrenalectomy has been adopted as the treatment of choice for benign adrenal tumors. This study aimed to investigate the outcome of laparoscopic adrenalectomies performed over a 10-year period at a teaching hospital.
methodsAll laparoscopic adrenalectomies carried out between 1 April 2000 and 31 March 2010 were evaluated with respect to perioperative management, complications, conversion rate, learning curve, tumor size, and surgically relevant characteristics of different adrenal pathologies.
resultsOver a period of 10 years, 215 laparoscopic lateral transabdominal adrenalectomies were carried out for Conn's syndrome (n = 90), Cushing's syndrome (n = 72), pheochromocytoma (n = 30), metastatic disease (n = 8), incidentalomas (n = 10), and other rare adrenal pathologies (n = 5). Morbidity, mortality, and conversion rate were 7.0, 0.9, and 4.2 %, respectively. Patients with Cushing's disease and bilateral adrenalectomy showed a higher complication rate. In retrospect, the indication for a laparoscopic approach was at least questionable in five cases. During these 10 years, four surgeons unfamiliar with the technique received intensive training to a defined plan.
conclusionsLaparoscopic adrenalectomy represents a safe operating technique associated with few complications and a low conversion rate. Patients with severe Cushing's disease are prone to complications and require intensive monitoring postoperatively. Laparoscopic adrenalectomy is associated with a learning curve, and particular emphasis should be given to surgical training.
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