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One hundred laparoscopic adrenalectomies: a single surgeon's experience
Herbert J Zeh1, Robert Udelsman
1University of Pittsburgh, Kaufmann Medical Building, Pittsburgh, Pennsylvania, USA.
Annals of Surgical Oncology
|November 5, 2003
Summary
Laparoscopic adrenalectomy significantly reduces hospital stays and speeds up diet resumption compared to open surgery. This minimally invasive approach offers clear benefits for patients undergoing adrenal gland removal.
Area of Science:
- Minimally invasive surgery
- Surgical oncology
- Endocrinology
Background:
- Laparoscopic adrenalectomy has become the standard for benign adrenal neoplasms since 1992.
- This study reports on a single surgeon's experience with 100 consecutive laparoscopic adrenalectomies.
Purpose of the Study:
- To evaluate the outcomes of 100 consecutive laparoscopic adrenalectomies.
- To compare these outcomes with open adrenalectomy procedures.
Main Methods:
- Retrospective review of patient records from 1993-2000 at Johns Hopkins Hospital.
- Analysis of length of stay, diet resumption, morbidity, and costs for laparoscopic vs. open adrenalectomy.
- Comparison with 20 open adrenalectomies and 428 statewide adrenalectomies.
Main Results:
- 93 unilateral and 7 bilateral laparoscopic adrenalectomies performed.
- Common indications included aldosteronoma, pheochromocytoma, and adenomas.
- Median length of stay was 1.0 day for laparoscopic vs. 6.5 days for open procedures.
- Diet resumption averaged 1.0 day for laparoscopic procedures.
Conclusions:
- Laparoscopic adrenalectomy demonstrates significant advantages over open adrenalectomy.
- Shorter hospital stays and faster diet resumption are key benefits.
- Lower total hospital charges are associated with the laparoscopic approach.