RT Journal
A1 Henneman D, Chang Y, Hodin RA, Berger DL
T1 EFfect of laparoscopy on the indications for adrenalectomy
JF Archives of Surgery
JO Archives of Surgery
YR 2009
FD March 16
VO 144
IS 3
SP 255
OP 259
DO 10.1001/archsurg.2008.564
UL http://dx.doi.org/10.1001/archsurg.2008.564
AB Background 
    Laparoscopic adrenalectomy is now the criterion standard for removal of most benign adrenal lesions and may be used for malignant lesions as well. At the same time, improved imaging has led to an increase in the number of incidentally detected adrenal masses. The aim of this study was to determine whether the introduction of laparoscopy has changed the indications for adrenalectomy.Design 
    Retrospective cohort study of patients operated on for primary adrenal disease between September 1, 1987, and August 17, 2007.Setting 
    Academic hospital.Patients 
    Sixty-six patients treated before (group 1) and 203 treated after (group 2) introduction of laparoscopic adrenalectomy.Main Outcome Measures 
    Patient characteristics, comorbidity, tumor size, indication, and time between diagnosis and surgery.Results 
    Group 2 had more patients in American Society of Anesthesiologists class III with gastrointestinal and metabolic-endocrine comorbidities. Tumor size did not change, and, despite an increase in the number of adrenalectomies, indications for surgery remained consistent over time.Conclusion 
    Despite an increased volume of procedures, the introduction of laparoscopic adrenalectomy in our hospital did not change the indications for surgical intervention.