loading page

Is Laparoscopic Adrenalectomy for Pheochromocytoma a Safe and Effective Surgery in Geriatric Patients?
  • +4
  • Kadir Gunseren,
  • Mehmet Çağatay Çiçek,
  • Deniz Bolat,
  • Sezgin Yeni,
  • Hakan Vuruskan,
  • Ozen Oz Gul,
  • Ismet Yavascaoglu
Kadir Gunseren
Uludag University Faculty of Medicine
Author Profile
Mehmet Çağatay Çiçek
Uludag University Faculty of Medicine
Author Profile
Deniz Bolat
University of Health Sciences, Izmir Bozyaka Training and Research Hospital
Author Profile
Sezgin Yeni
Uludag University Faculty of Medicine
Author Profile
Hakan Vuruskan
Uludag University Faculty of Medicine
Author Profile
Ozen Oz Gul
Uludag University Faculty of Medicine
Author Profile
Ismet Yavascaoglu
Uludag University Faculty of Medicine
Author Profile

Abstract

Objectives: In this study, we aimed to evaluate the haemodynamic changes of laparoscopic adrenalectomy (LA) in geriatric patients with pheochromocytoma (PHEO). To the best of our knowledge, it is the first study evaluating the haemodynamic outcomes of pure LA in this patient population. Methods: Between 2000-2020, data of 350 patients who underwent single-side transperitoneal LA were reviewed retrospectively. Patients with a histopathological diagnosis of PHEO were enrolled and classified into two groups according to their ages at the date of surgery. Older than 65 years were accepted as elderly according to the World Health Organisation recommendations. Results: Overall 54 patients underwent single side LA for PHEO. Fifteen patients were enrolled in the elderly group and 39 in the young group. There were no significant differences regarding the operation site (0.564) and tumour size (0.878). There were no statistically significant differences in terms of perioperative outcomes, such as mean anaesthesia and operation times, blood loss and haemodynamic changes. Regarding postoperative outcomes; there were no statistically significant differences in mean hospitalization and intensive care unit times. In 1 patient in each grade-1 (prolonged ileus, managed with medical treatment) and grade 2 complication (transfusion during surgery) observed in the elderly and young groups, respectively (p=0.498). Conclusion: Laparoscopic adrenalectomy in elderly patients with PHEO is as safe and effective as in younger patients. One of the most important conditions for achieving good perioperative and postoperative outcomes in the elderly patient population with this challenging surgery is the multidisciplinary approach.

Peer review status:ACCEPTED

20 Dec 2020Submitted to International Journal of Clinical Practice
21 Dec 2020Submission Checks Completed
21 Dec 2020Assigned to Editor
18 Mar 2021Reviewer(s) Assigned
22 Mar 2021Review(s) Completed, Editorial Evaluation Pending
27 Apr 20211st Revision Received
29 Apr 2021Assigned to Editor
29 Apr 2021Submission Checks Completed
30 Apr 2021Reviewer(s) Assigned
12 May 2021Review(s) Completed, Editorial Evaluation Pending
16 May 20212nd Revision Received
25 May 2021Submission Checks Completed
25 May 2021Assigned to Editor
25 May 2021Review(s) Completed, Editorial Evaluation Pending
27 May 2021Editorial Decision: Accept