Evidence map›Paper›PMID 32072291›Full record

ArticleSurgical endoscopy2021

Laparoscopic transperitoneal adrenalectomy: a comparative study of different techniques for vessel sealing.

Luca Cardinali, Edlira Skrami, Elisa Catani, Flavia Carle, Monica Ortenzi, Andrea Balla, Mario Guerrieri

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Robotic Submesocolic Left Adrenalectomy: The Evolution of Delbet Approach.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Article
  3. Article
  4. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Luca CardinaliSurgical Clinic, Department of Experimental and Clinical Medicine, Section of Surgical Sciences, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy. cardinali.luca@hotmail.it.ORCID 0000-0002-0060-9807
Edlira SkramiCentre of Epidemiology, Biostatistics and Information Technology, School of Medicine, Polytechnic University of Marche, Ancona, Italy.
Elisa CataniSurgical Clinic, Department of Experimental and Clinical Medicine, Section of Surgical Sciences, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
Flavia CarleCentre of Epidemiology, Biostatistics and Information Technology, School of Medicine, Polytechnic University of Marche, Ancona, Italy.
Monica OrtenziSurgical Clinic, Department of Experimental and Clinical Medicine, Section of Surgical Sciences, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
Andrea BallaDepartment of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza University of Rome, Rome, Italy.
Mario GuerrieriSurgical Clinic, Department of Experimental and Clinical Medicine, Section of Surgical Sciences, Polytechnic University of Marche, Via Tronto 10/A, 60126, Ancona, Italy.
Marche Polytechnic University · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic adrenalectomy is the standard surgical approach to adrenal lesions. Adrenal vessel sealing is the critical surgical phase of laparoscopic adrenalectomy. This study aimed at comparing perioperative outcomes of laparoscopic transperitoneal adrenalectomy by means of radiofrequency energy-based device (LARFD) to those performed with traditional clipping device (LACD), while focusing on the different adrenal vessel control techniques.

methodsPatients who underwent adrenalectomy for adrenal disease between January 1994 and April 2019 at the Surgical Clinic, Polytechnic University of Marche were included in the study. Overall, 414 patients met inclusion criteria for study eligibility: 211 and 203 patients underwent LARFD and LACD, respectively. Multiple models of quantile regression, logistic regression and Poisson finite mixture regression were used to assess the relationship between operative time, conversion to open procedure, length of stay (LoS), surgical procedure and patient characteristics, respectively.

resultsLARFD reduced operative time of about 12 min compared to LACD. Additional operative time-related factors were surgery side, surgery approach, conversion to open procedure and trocar number. The probability of conversion to open procedure decreased by about 76% for each added trocar, whereas it increased by about 49% for each added centimeter of adrenal lesion and by about 25% for each added year of surgery. Two patient clusters were identified based on the LoS: long-stay and short-stay. In the long-stay cluster, LoS decreased of about 30% in LARFD group and it was significantly associated with conversion to open procedure and postoperative complications, whereas in short-stay cluster only postoperative complications had a significant effect on LoS.

conclusionLaparoscopic transperitoneal adrenalectomy performed by means of radiofrequency energy-based device for the sealing of adrenal vessels is an effective procedure reducing operative time with potentially improved postoperative outcomes.

Indexed as

AdrenalectomyAdrenal Gland DiseasesAdultAgedConversion to Open SurgeryFemaleHumansLaparoscopyLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsRadiofrequency AblationSurgical InstrumentsTreatment OutcomeAdrenal glandLaparoscopic adrenalectomyMinimally invasive surgeryRadiofrequencyVessel sealing

Identifiers

PMID32072291
OpenAlexW3007451638

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.