Evidence map›Paper›PMID 41361517›Full record

ArticleSurgical endoscopy2026

A ten-year propensity score-matched comparison of lateral transabdominal and posterior retroperitoneoscopic approaches to adrenalectomy.

Leonardo Rossi, Chiara Becucci, Andrea De Palma, Benard Gjeloshi, Ortensia Della Posta, Giuseppe D'Amato, Marinunzia Paternoster, Riccardo Morganti, Carlo Enrico Ambrosini, Gabriele Materazzi

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Leonardo RossiEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy. leonardo.rossi@med.unipi.it.ORCID 0000-0003-4974-3860
Chiara BecucciEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Andrea De PalmaEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Benard GjeloshiEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Ortensia Della PostaEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Giuseppe D'AmatoEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Marinunzia PaternosterEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Riccardo MorgantiSection of Statistics, University of Pisa, Pisa, Italy.
Carlo Enrico AmbrosiniEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
Gabriele MaterazziEndocrine Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive adrenalectomy (MIA) is mostly performed as lateral transabdominal adrenalectomy (LTA) or posterior retroperitoneoscopic adrenalectomy (PRA). This study aims to compare LTA and PRA in terms of perioperative outcomes.

methodsA retrospective cohort study was conducted on 225 patients who underwent MIA from 2013 to 2023. Patients were divided into two groups: LTA (n = 182) and PRA (n = 43). Propensity score matching (PSM) was used for group balancing.

resultsPRA was associated with shorter operative times (p = 0.004), shorter hospital stay (p < 0.001), fewer drainage placements (p < 0.001), shorter time to catheter removal (p = 0.028), shorter time to return to oral diet (p = 0.012), and higher need for postoperative ICU stay (p = 0.001). After PSM, PRA remained associated with shorter hospital stay (p = 0.019) and lower rate of drainage placement (p < 0.001). In multivariate analysis, no factors resulted in association with postoperative complications, while BMI resulted in association with a longer hospital stay (p = 0.016).

conclusionBoth LTA and PRA demonstrated comparable safety profiles. PRA, however, was associated with a shorter hospital stay and reduced drain placement frequency.

Indexed as

AdrenalectomyLaparoscopyAdultAgedFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreRetroperitoneal SpaceRetrospective StudiesTreatment OutcomeAdrenalectomyComplicationsLaparoscopicPropensity score matchingRetroperitoneoscopicRetrospective study

Identifiers

PMID41361517

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.