Audit of 14 years experience of Laparoscopic Adrenalectomy using the Uro-Clavien-Dindo classificatio...
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Audit of 14 years experience of Laparoscopic Adrenalectomy using the Uro-Clavien-Dindo classification of complications. JA Forster, R Sandhu, CS Biyani, AJ Browning Department of Urology. Laparoscopic Adrenalectomy. First reported in 1992. Uncommon.

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Ja forster r sandhu cs biyani aj browning department of urology

Audit of 14 years experience of Laparoscopic Adrenalectomy using the Uro-Clavien-Dindo classification of complications

JAForster, R Sandhu, CS Biyani, AJ Browning

Department of Urology


Laparoscopic adrenalectomy
Laparoscopic using the Uro-Clavien-Dindo classification of complications Adrenalectomy

  • First reported in 1992. Uncommon.

  • Laparoscopic surgery is favourable due to:

    • Small size of adrenals

    • Difficulty in reaching with open surgery

    • Benign nature of most masses

  • Indications include:

    • Phaeochromocytoma (endocrinology/anaesthetists)

    • Cushing’s

    • Conn’s

    • Adrenal carcinoma


Results 1
Results (1) using the Uro-Clavien-Dindo classification of complications

  • 31 patients had a lap. adrenalectomy over 14 yrs.

  • The mean age was 53.

  • The most common presentations were:

  • Mean size of lesion (pre-op) was 4.5cm.

  • 7 patients had raised pre-op urinary catecholamines

  • Mean operative time was 168 mins. 3 pts Tx

  • 11 received pre/intra-operative Magnesium infusion.


Results 2 and conclusions
Results (2) and Conclusions using the Uro-Clavien-Dindo classification of complications

  • Median hospital stay was 5 days.

  • Complications classified using Uro-Clavien-Dindo:

    • Grade I (e.g. ileus): None

    • Grade II: 8 in 6 pts (infection (4), blood Tx (3))

    • Grade IIIa (intervention under L.A.): None

    • Grade IIIb: Two (both conversion to open)

    • Grade IVa (1 organ failure): 2; Gr. IVb (multi): 0

    • Grade V (death): None

  • Histopathology: 14 adenoma, 10 Phaeo, others

  • Laparoscopic adrenalectomy can be safely performed in this district general hospital setting