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Risk factors for intraoperative complications, postoperative complications, and prolonged length of stay after laparoscopic adrenalectomy by transperitoneal lateral approach: a retrospective cohort study of 547 procedures

dc.rights.licenseopenen_US
dc.contributor.authorFOUCHE, Donatien
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCHENAIS, Gabrielle
dc.contributor.authorHAISSAGUERRE, Magalie
dc.contributor.authorBOURIEZ, Damien
hal.structure.identifierBoRdeaux Institute in onCology [Inserm U1312 - BRIC]
dc.contributor.authorGRONNIER, Caroline
dc.contributor.authorCOLLET, Denis
hal.structure.identifierNeurocentre Magendie : Physiopathologie de la Plasticité Neuronale [U1215 Inserm - UB]
dc.contributor.authorTABARIN, Antoine
dc.contributor.authorNAJAH, Haythem
dc.date.accessioned2023-11-07T14:20:37Z
dc.date.available2023-11-07T14:20:37Z
dc.date.issued2023-10-01
dc.identifier.issn1432-2218en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/184665
dc.description.abstractEnLaparoscopic adrenalectomy (LA) is the gold standard for the resection of most adrenal lesions. A precise delineation of factors influencing its outcomes is lacking. The aim of this study was to assess factors associated with intraoperative complications, postoperative complications, and prolonged length of stay (LOS) after LA. Patients who underwent LA from 1999 to 2021 in a single-academic-institution were included. Patient and disease-specific data, intraoperative complications, postoperative complications according to Dindo-Clavien (DC) scale, and LOS were recorded. Predictive factors of complications and prolonged LOS were determined by logistic regression. We identified 530 patients who underwent 547 LA. Intraoperative complications occurred in 33 patients (6.0%). Postoperative complications ≥  DC grade 2 occurred in 73 patients (13.35%); severe postoperative complications ≥ DC grade 3 in 14 patients (2.56%). Postoperative complications were positively associated with age ≥ 72 (OR 1.14 [95% CI 1.02-1.29]), intraoperative complications (OR 1.36 [95% CI 1.14-1.63]), and negatively associated with non functional adenomas (OR 0.88 [95% CI 0.7-0.99]), and right adrenalectomy (OR 0.91 [95% CI 0.86-0.97]). Severe postoperative complications were positively associated with chronic obstructive pulmonary disease (COPD, OR 1.08 [95% CI 1.00-1.17]), and negatively associated with right adrenalectomy (OR 0.97 [95% CI 0.92-0.99]). Prolonged LOS was associated with age ≥ 72 (OR 1.21 [95% CI 1.05-1.41]), and COPD (OR 1.20 [95% CI 1.01-1.44]). LA remains safe when performed by surgeons with expertise. Right adrenalectomy resulted in less postoperative overall and severe complications. The risk-benefit equation should be carefully assessed before left LA in older patients with COPD.
dc.language.isoENen_US
dc.subject.enHumans
dc.subject.enAged
dc.subject.enAdrenalectomy
dc.subject.enLength of Stay
dc.subject.enRetrospective Studies
dc.subject.enLaparoscopy
dc.subject.enIntraoperative Complications
dc.subject.enRisk Factors
dc.subject.enPostoperative Complications
dc.subject.enPulmonary Disease
dc.subject.enChronic Obstructive
dc.subject.enAdrenal Gland Neoplasms
dc.title.enRisk factors for intraoperative complications, postoperative complications, and prolonged length of stay after laparoscopic adrenalectomy by transperitoneal lateral approach: a retrospective cohort study of 547 procedures
dc.title.alternativeSurg Endoscen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s00464-023-10148-0en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37442834en_US
bordeaux.journalSurgical Endoscopyen_US
bordeaux.page7573-7581en_US
bordeaux.volume37en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue10en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEADen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04273833
hal.version1
hal.date.transferred2023-11-07T14:20:39Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Surgical%20Endoscopy&rft.date=2023-10-01&rft.volume=37&rft.issue=10&rft.spage=7573-7581&rft.epage=7573-7581&rft.eissn=1432-2218&rft.issn=1432-2218&rft.au=FOUCHE,%20Donatien&CHENAIS,%20Gabrielle&HAISSAGUERRE,%20Magalie&BOURIEZ,%20Damien&GRONNIER,%20Caroline&rft.genre=article


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