Publication:
Single center experience with laparoscopic adrenalectomy on a large clinical series: Lessons learned from 273 cases: A retrospective cohort study

dc.contributor.authorÇelen, Sinan
dc.contributor.authorGünseren, Kadir Ömur
dc.contributor.authorVuruşkan, Hakan
dc.contributor.authorAcımış, Nurhan Meydan
dc.contributor.authorKordan, Yakup
dc.contributor.authorYavaşcaoğlu, İsmet
dc.contributor.buuauthorGÜNSEREN, KADİR ÖMÜR
dc.contributor.buuauthorVURUŞKAN, HAKAN
dc.contributor.buuauthorYAVAŞCAOĞLU, İSMET
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Üroloji Bölümü
dc.contributor.researcheridITO-9188-2023
dc.contributor.researcheridEFH-9523-2022
dc.contributor.researcheridEIN-0828-2022
dc.date.accessioned2024-06-12T07:49:15Z
dc.date.available2024-06-12T07:49:15Z
dc.date.issued2022-12
dc.description.abstractObjectives: We aim to evaluate the risk of laparoscopic adrenalectomy (LA) for large adrenal tumors and the risk of learning curve.Design: Single centre, retrospective studySetting: Uludag University, Bursa, TurkeySubjects: A study in a large patient population (N=273) who underwent LA between 2006 and 2017.Interventions: The patients were divided into two study groups according to tumour size as estimated by pathologic specimen maximum diameter, Group A (less than 5cm) and group B (larger than 5cm). In addition, to evaluate learning curve of LA, the patients were divided into two groups according to time interval: the first period was 2006 to 2011, and the second period 2012-2017.Main outcome measures: To evaluate the risk of learning curve and tumour sizeResults: There was no statistical difference between the two groups for per-operative and postoperative complications according to tumour size <5 or >= 5 cm, and there was statistical difference between the two groups for operation time, length of hospital stay; but no statistical difference for postoperative complications according to time interval.Conclusion: LA in large adrenal masses (5 cm or larger) is not associated with longer operative time, increased blood loss and longer hospital stay, without affecting perioperative morbidity, Hence, the size of an adrenal mass should not be the only factor in determining whether LA or not. Besides, learning curve may affect outcomes of LA.
dc.identifier.endpage468
dc.identifier.issn1607-8047
dc.identifier.issn0023-5776
dc.identifier.issue4
dc.identifier.startpage463
dc.identifier.urihttps://hdl.handle.net/11452/42046
dc.identifier.volume54
dc.identifier.wos001087350700002
dc.indexed.wosWOS.SCI
dc.language.isoen
dc.publisherKuwait Medical Association
dc.relation.journalKuwait Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPosterior retroperitoneoscopic adrenalectomy
dc.subjectAdrenocortical carcinoma
dc.subjectTumors
dc.subjectCm
dc.subjectAdrenal
dc.subjectAdrenalectomy
dc.subjectLaparoscopy
dc.subjectLearning curve
dc.subjectOncology
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectMedicine, general & internal
dc.subjectGeneral & internal medicine
dc.titleSingle center experience with laparoscopic adrenalectomy on a large clinical series: Lessons learned from 273 cases: A retrospective cohort study
dc.typeArticle
dspace.entity.typePublication
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relation.isAuthorOfPublication2ca52f73-e8e4-425c-b8d2-b17047ba50a1
relation.isAuthorOfPublication457d116a-1243-4450-804b-3e670de18420
relation.isAuthorOfPublication.latestForDiscoveryafaf57e6-8cc4-4ab6-95e6-6a87ccf06367

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