Clinical outcomes and learning curve of a laparoscopic adrenalectomy in 103 consecutive cases at a single institute

Masatoshi Eto, Masahiko Harano, Hirofumi Koga, Masatoshi Tanaka, Seiji Naito

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Objective: We examined the clinical outcomes and the learning curve for a laparoscopic adrenalectomy (LA) in 103 consecutive cases performed by three surgeons at our institute, according to the type of adrenal disorder. Patients and Methods: One hundred and three patients with adrenal tumors, including 38 cases of primary aldosteronism, 33 cases of Cushing syndrome (including preclinical Cushing syndrome), 15 cases of pheochromocytoma, and nine cases of non-functioning adenoma were evaluated, while focusing on the approaches, intraoperative and postoperative data, and the learning curve of LA, according the type of adrenal disorder. Results: There was no significant difference in the operation time, estimated blood loss, incidence of conversion to open surgery and blood transfusion, or postoperative recovery among the patients treated by LA for aldosteronoma, Cushing adenoma, pheochromocytoma, and non-functioning adenoma. In the cases of aldosteronoma and Cushing adenoma, the learning curve for the operation time and blood loss in each operator tended to decrease as the number of operations increased. On the other hand, in the cases treated by LA for pheochromocytoma, no trends in either the operation time or blood loss were observed. However, there has been neither any conversion to open surgery nor blood transfusion in cases treated by LA since 1998 (our 42nd case), even after the changes in the operators. Conclusions: Our results clearly indicate that LA is becoming safer than before, probably due to improvements in the technique, education, and training of surgeons, in addition to the increased number of cases now treated by LA.

Original languageEnglish
Pages (from-to)671-676
Number of pages6
JournalInternational Journal of Urology
Volume13
Issue number6
DOIs
Publication statusPublished - Jun 1 2006

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Learning Curve
Adrenalectomy
Adenoma
Pheochromocytoma
Conversion to Open Surgery
Cushing Syndrome
Blood Transfusion
Hyperaldosteronism
Glandular and Epithelial Neoplasms
Teaching
Education
Incidence

All Science Journal Classification (ASJC) codes

  • Urology

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Clinical outcomes and learning curve of a laparoscopic adrenalectomy in 103 consecutive cases at a single institute. / Eto, Masatoshi; Harano, Masahiko; Koga, Hirofumi; Tanaka, Masatoshi; Naito, Seiji.

In: International Journal of Urology, Vol. 13, No. 6, 01.06.2006, p. 671-676.

Research output: Contribution to journalArticle

Eto, Masatoshi ; Harano, Masahiko ; Koga, Hirofumi ; Tanaka, Masatoshi ; Naito, Seiji. / Clinical outcomes and learning curve of a laparoscopic adrenalectomy in 103 consecutive cases at a single institute. In: International Journal of Urology. 2006 ; Vol. 13, No. 6. pp. 671-676.
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