Risk Factors Associated With Perioperative Complications and Prolonged Length of Stay After Laparoscopic Adrenalectomy


In this single-center cohort study of 653 laparoscopic adrenalectomy procedures in 640 patients, 76 complications occurred in 55 patients (8.4%). Independent risk factors for complications included patients with more comorbidities, pheochromocytoma, a tumor size of 6 cm or larger, and conversion to an open or hand-assisted surgical procedure. Per these results, laparoscopic transabdominal adrenalectomy is a safe procedure, but selection of surgical candidates should be based on both patient and tumor factors, and surgery on high-risk patients should be performed at a specialized center.

Authors: Yufei Chen, Anouk Scholten, Kathryn Chomsky-Higgins, Iheoma Nwaogu, Jessica E. Gosnell, Carolyn Seib, Wen T. Shen, Insoo Suh, Quan-Yang Duh
Keywords: laparoscopic adrenalectomy, perioperative complications, risk factors
DOI Number: 10.1001/jamasurg.2018.2648      Publication Year: 2018

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