Synchronous bilateral laparoscopic adrenalectomy: Surgical technique and perioperative results of a 13-years’ experienceAdrenalectomía laparoscópica bilateral sincrónica: técnica quirúrgica y resultados perioperatorios en 13 años de experiencia

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dc.article.number100714
dc.contributor.authorIglesias, T.G.
dc.contributor.authorAffeld, M.F.
dc.contributor.authorZuñiga, A.
dc.contributor.authorOlmos, R.
dc.contributor.authorBaudrand, R.F.
dc.contributor.authorSan Francisco, I.F.
dc.contributor.authorBaudrand R.F.
dc.date.accessioned2025-05-01T10:30:38Z
dc.date.available2025-05-01T10:30:38Z
dc.date.issued2022
dc.description.abstract© 2021 AEUIntroduction and objectives: Laparoscopic surgery is the standard approach for the treatment of adrenal glands. Bilateral synchronous adrenalectomy is rarely performed, and evidence about this procedure is limited. Our objective is to report our 13-year experience with synchronous laparoscopic bilateral adrenalectomy, evaluating its feasibility, safety, and perioperative outcomes. Patients and methods: A total of 23 consecutive patients undergoing synchronous bilateral laparoscopic adrenalectomy between 2007 and 2020 in a single academic center were included. Variables evaluated were operative time, estimated blood loss, conversion to open surgery, postoperative complications, mortality, and postoperative length of stay. Results: Mean operative time was 189.3 ± 48.9 min. Mean estimated blood loss was 163.0 ± 201.3 ml. There were no conversions to open surgery. Five patients had postoperative complications, three of those were major. No patient died in the perioperative period. Median postoperative length of stay was three days (range 1-30). At pathology analysis, 15 patients had bilateral adrenal hyperplasia, 2 unilateral adrenal hyperplasia and a contralateral benign tumor, 1 unilateral adrenal hyperplasia and a normal contralateral gland, 1 unilateral adenoma, 3 bilateral pheochromocytomas and 1 bilateral myelolipoma. Conclusion: Synchronous bilateral laparoscopic adrenalectomy is a feasible and safe technique. A multidisciplinary and experienced team involving anesthesiologists and endocrinologists is required.
dc.description.funderDepartment of Research, Faculty of Dentistry of the University of Chile
dc.description.funderFund for Research in Dentistry
dc.format.extent40 páginas
dc.fuente.origenScopus
dc.identifier.doi10.1016/j.acuro.2021.05.007
dc.identifier.eissn24687855
dc.identifier.issn02104806
dc.identifier.pubmedid34990812
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85122267100
dc.identifier.urihttps://doi.org/10.1016/j.acuro.2021.05.007
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103641
dc.identifier.wosidWOS:000799011500005
dc.information.autorucEscuela de Medicina; San Francisco Reyes Ignacio Felipe; 0000-0001-8344-6988; 152729
dc.information.autorucEscuela de Medicina; Olmos Borzone Roberto Ignacio; S/I; 163754
dc.information.autorucEscuela de Medicina; Baudrand Biggs Rene Felipe; 0000-0002-8655-4957; 1024
dc.issue.numero1
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final40
dc.pagina.inicio36
dc.relation.ispartofActas Urologicas Espanolas
dc.revistaActas Urologicas Espanolas
dc.rightsAcceso cerrado
dc.subjectAdrenal
dc.subjectAdrenalectomy
dc.subjectBilateral
dc.subjectLaparoscopic surgery
dc.subjectSynchronous
dc.subject.ddc400
dc.subject.deweyLenguases_ES
dc.subject.ods11 Sustainable cities and communities
dc.subject.odspa11 Ciudades y comunidades sostenibles
dc.titleSynchronous bilateral laparoscopic adrenalectomy: Surgical technique and perioperative results of a 13-years’ experienceAdrenalectomía laparoscópica bilateral sincrónica: técnica quirúrgica y resultados perioperatorios en 13 años de experiencia
dc.typeartículo
dc.volumen74
sipa.codpersvinculados152729
sipa.codpersvinculados163754
sipa.codpersvinculados1024
sipa.indexScopus
sipa.indexWOS
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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