Laparoscopic approach reduces likelihood of perioperative complications in patients undergoing adrenalectomy

Rodrigo Gonzalez, C. Daniel Smith, David A. Mcclusky, Archana Ramaswamy, Gene D. Branum, John Hunter, Collin J. Weber

Research output: Contribution to journalArticle

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Abstract

Laparoscopy has been reported advantageous over the conventional open technique for adrenalectomy. However, most comparative series include the relatively more challenging cases in the open group. The aim of this study is to assess the actual role of laparoscopy in reducing perioperative complications compared to open surgery in patients undergoing adrenalectomy. Between January 1992 and December 2002, we performed 148 adrenalectomies in 138 patients. Depending on the approach, patients were divided into laparoscopic (LA) or open adrenalectomy (OA) groups. Demographics, tumor characteristics, operative data, and outcomes were analyzed. Linear and logistic regressions identified factors influencing perioperative outcomes. Multivariate-adjusted logistic regression assessed independent relationship between factors and perioperative outcomes. A total of 78 cases were performed laparoscopically and 70 open. Patients were matched for age and sex. Tumor size was smaller (3 ± 2 vs 5 ± 3 cm), operative time was shorter (133 ± 65 vs 165 ± 100 min), estimated blood loss was less (114 ± 152 vs 350 ± 417 cc), length of stay was shorter (3 ± 2 vs 7 ± 3 days), and overall complication rate was lower (7% vs 20%) in the LA compared to the OA group. The incidence of cancer in tumors ≥6 cm (31%) was higher than in those

Original languageEnglish (US)
Pages (from-to)668-674
Number of pages7
JournalAmerican Surgeon
Volume70
Issue number8
StatePublished - 2004
Externally publishedYes

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Adrenalectomy
Laparoscopy
Neoplasms
Logistic Models
Operative Time
Linear Models
Length of Stay
Demography
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Gonzalez, R., Smith, C. D., Mcclusky, D. A., Ramaswamy, A., Branum, G. D., Hunter, J., & Weber, C. J. (2004). Laparoscopic approach reduces likelihood of perioperative complications in patients undergoing adrenalectomy. American Surgeon, 70(8), 668-674.

Laparoscopic approach reduces likelihood of perioperative complications in patients undergoing adrenalectomy. / Gonzalez, Rodrigo; Smith, C. Daniel; Mcclusky, David A.; Ramaswamy, Archana; Branum, Gene D.; Hunter, John; Weber, Collin J.

In: American Surgeon, Vol. 70, No. 8, 2004, p. 668-674.

Research output: Contribution to journalArticle

Gonzalez, R, Smith, CD, Mcclusky, DA, Ramaswamy, A, Branum, GD, Hunter, J & Weber, CJ 2004, 'Laparoscopic approach reduces likelihood of perioperative complications in patients undergoing adrenalectomy', American Surgeon, vol. 70, no. 8, pp. 668-674.
Gonzalez, Rodrigo ; Smith, C. Daniel ; Mcclusky, David A. ; Ramaswamy, Archana ; Branum, Gene D. ; Hunter, John ; Weber, Collin J. / Laparoscopic approach reduces likelihood of perioperative complications in patients undergoing adrenalectomy. In: American Surgeon. 2004 ; Vol. 70, No. 8. pp. 668-674.
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