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The effect of mass functionality on laparoscopic adrenalectomy outcomes.
Aydin, Yavuz Mert; Günseren, Kadir Ömür; Çiçek, Mehmet Çagatay; Aslan, Ömer Faruk; Gül, Özen Öz; Cander, Soner; Yavascaoglu, Ismet.
Afiliación
  • Aydin YM; Department of Urology, Bursa Uludag University, Gorukle Campus, Bursa, 16059, Turkey. yavuzmertaydin@gmail.com.
  • Günseren KÖ; Department of Urology, Bursa Uludag University, Gorukle Campus, Bursa, 16059, Turkey.
  • Çiçek MÇ; Department of Urology, Bursa Uludag University, Gorukle Campus, Bursa, 16059, Turkey.
  • Aslan ÖF; Department of Urology, Bursa Uludag University, Gorukle Campus, Bursa, 16059, Turkey.
  • Gül ÖÖ; Department of Endocrinology, Bursa Uludag University, Gorukle Campus, Bursa, 16059, Turkey.
  • Cander S; Department of Endocrinology, Bursa Uludag University, Gorukle Campus, Bursa, 16059, Turkey.
  • Yavascaoglu I; Department of Urology, Bursa Uludag University, Gorukle Campus, Bursa, 16059, Turkey.
Langenbecks Arch Surg ; 409(1): 212, 2024 Jul 10.
Article en En | MEDLINE | ID: mdl-38985178
ABSTRACT

PURPOSE:

This study aimed to determine the effect of adrenal mass functionality and different hormone subtypes synthesized by the adrenal masses on laparoscopic adrenalectomy (LA) outcomes. MATERIALS AND

METHODS:

The study included 298 patients, 154 of whom were diagnosed with nonfunctional masses. In the functional group, 33, 62, and 59 patients had Conn syndrome, Cushing's syndrome, and pheochromocytoma, respectively. The variables were analyzed between the functional and nonfunctional groups and then compared among functional masses through subgroup analysis.

RESULTS:

The incidence of diabetes mellitus, hypertension, and obesity, blood loss, and length of hospital stay (LOH) were significantly higher in the functional group than in the nonfunctional group. In the subgroup analysis, patients with pheochromocytoma had significantly lower body mass index but significantly higher mass size, blood loss, and LOH than the other two groups. A positive correlation was found between mass size and blood loss in patients with pheochromocytoma (p ≤ 0.001, r = 0.761). However, no significant difference in complications was found among the groups.

CONCLUSIONS:

In this study, patients with functional adrenal masses had higher comorbidity rates and American Society of Anesthesiologists scores. Moreover, blood loss and LOH were longer on patients with functional adrenal masses who underwent LA. Mass size, blood loss, and LOH in patients with pheochromocytoma were significantly longer than those in patients with other functional adrenal masses. Thus, mass functionality did not increase the complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Feocromocitoma / Laparoscopía / Neoplasias de las Glándulas Suprarrenales / Adrenalectomía Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Feocromocitoma / Laparoscopía / Neoplasias de las Glándulas Suprarrenales / Adrenalectomía Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania