ArticleLangenbeck's archives of surgery2017
Risk factors for complications after adrenalectomy: results from a comprehensive national database.
Article in Langenbeck's archives of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of adrenalectomy with conservative treatment on mild autonomous cortisol secretion: a systematic review and meta-analysis.Frontiers in endocrinology · 2024Pooled it
- Risk factors for early postoperative complications after minimally invasive adrenalectomy: a single-centre retrospective cohort study of more than 800 patients.Surgical endoscopy · 2026Article
- Robotic adrenalectomy: comparison of DaVinci, HUGO™-RAS and VersiusUpdates in surgery · 2026Article
- [Diagnostics and treatment of pheochromocytomas and paragangliomas].Chirurgie (Heidelberg, Germany) · 2026Review
- Tailored surgery for large adrenal tumors: the minimally invasive to open (hybrid) approach.Updates in surgery · 2026Article
- Current state-of-the-art of adrenal surgery in Italy: the cancer risk in surgical adrenal lesions (CRISAL) survey.Updates in surgery · 2025Article
- Epidemiological trends of adrenalectomies in Brazil: A cohort-based study of the Brazilian public health system.Archives of endocrinology and metabolism · 2025Article
- [Robotic adrenalectomy-current evidence].Chirurgie (Heidelberg, Germany) · 2024Review
- The effect of obesity on the outcomes of laparoscopic adrenal surgery in patients with Cushing syndrome.Annals of surgical treatment and research · 2024Article
- Initial experience with robot-assisted adrenalectomy for giant adrenal tumors.Asian journal of urology · 2024Article
- Risk factors for postoperative complications after adrenalectomy for phaeochromocytoma: multicentre cohort study.BJS open · 2023Article
- Article
- Postoperative outcomes of minimally invasive adrenalectomy: do body mass index and tumor size matter? A single-center experience.BMC surgery · 2022Review
- Development and validation of a preoperative "difficulty score" for laparoscopic transabdominal adrenalectomy: a multicenter retrospective study.Surgical endoscopy · 2022Article
- Adrenalectomy for incidental and symptomatic phaeochromocytoma: retrospective multicentre study based on the Eurocrine® database.The British journal of surgery · 2021Observational
- Hypertensive Emergency in a Young Patient With Unilateral Adrenal Hyperplasia: A Case of Conn's Syndrome.Cureus · 2021Article
- Should surgical drainage after lateral transperitoneal laparoscopic adrenalectomy be routine?-A retrospective comparative study.Gland surgery · 2021Article
- Robot-assisted adrenalectomy: state of the art.Updates in surgery · 2021Review
- [EUROCRINE®: adrenal surgery 2015-2019- surprising initial results].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Factors associated with prolonged hospital stay after laparoscopic adrenalectomy.Updates in surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMost knowledge regarding outcome after adrenal surgery stems from retrospective studies reported by highly specialized centres. The aim of this study was to report a national experience of adrenalectomy with particular attention to predictive factors for postoperative complications, conversion from endoscopic to open surgery and length of hospital stay.
methodsAdrenalectomies reported in the Scandinavian Quality Register for Thyroid, Parathyroid and Adrenal Surgery (SQRTPA) 2009-2014 were included. Risk factors for complications, conversion and hospital stay >3 days were assessed using univariable and multivariable logistic regression analysis.
resultsThere were 659 operations. Endoscopic adrenalectomy was performed in 513 (77.8%) operations and almost half of these were robotic assisted. The median length of hospital stay was 3 (range 1-30) days. There was no 30-day mortality. In 43 (6.6%) patients, at least one complication was registered. The only factor associated with complications in multivariable analysis was conversion to open surgery odds ratio (OR) 3.61 (95% confidence interval 1.07 to 12.12). The risk for conversion was associated with tumour size OR 1.03 (1.00 to 1.06) and with malignancy on histopathology OR 8.33 (2.12 to 32.07). Length of hospital stay increased in patients with operation of bilateral tumours OR 3.13, left-sided tumours OR 1.98, hyper secretion of catecholamines OR 2.32, conversion to open surgery OR 42.05 and open surgery OR 115.18.
conclusionsThe present study shows that endoscopic surgery is widely used. Complications were associated with conversion and the risk for conversion was associated with tumour size and malignant tumour. Hospital stay was short.
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