Related Experiment Video
Updated: Jun 1, 2026
11:29
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Risk factors for conversion and complications after unilateral laparoscopic adrenalectomy.
S Gaujoux1, S Bonnet, M Leconte
1Department of Digestive and Endocrine Surgery, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, Université Paris Descartes, Paris, France.
The British Journal of Surgery
|May 28, 2011
Summary
Conversion to open surgery and left-sided tumors are key factors for complications after laparoscopic adrenalectomy (LA). However, no specific factors predicted the need for conversion to open surgery in this study.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Adrenal Gland Surgery
Background:
- Laparoscopic adrenalectomy (LA) is standard for benign adrenal tumors, with ~10% complication rates.
- Identifying predictors for complications and conversion is crucial for patient safety.
Purpose of the Study:
- To identify predictive factors for postoperative complications after unilateral LA.
- To determine factors predicting conversion to open surgery during LA.
Main Methods:
- Analysis of a prospectively maintained database of 462 patients undergoing unilateral LA (1994-2009).
- Exclusion criteria: adrenal mass >12 cm or suspected primary adrenal carcinoma.
- Multivariable logistic regression used to identify predictive factors.
Main Results:
- Overall complication rate was 11.5% (53/462 patients).
- Conversion to open surgery (OR 6.20) and left-sided tumors (OR 1.89) predicted overall complications.
- Conversion to open surgery predicted medical complications (OR 12.88); left-sided LA predicted surgical complications (OR 2.22).
- No factors predicted conversion to open surgery.
Conclusions:
- Conversion to open surgery and left-sided tumors are independent predictors of overall complications in LA.
- No analyzed variables predicted the likelihood of conversion to open surgery.
