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Feasibility of outpatient laparoscopic adrenalectomy for primary aldosteronism.
Milluy, Marie; Klein, Clément; Capon, Grégoire; Bernhard, Jean-Christophe; Bladou, Frank; Haissaguerre, Magali; Cremer, Antoine; Doublet, Julien; Robert, Grégoire; Alezra, Eric.
Afiliação
  • Milluy M; Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France. Electronic address: marie.milluy@chu-bordeaux.fr.
  • Klein C; Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Capon G; Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Bernhard JC; Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Bladou F; Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Haissaguerre M; Department of Endocrinology, Bordeaux Haut Levesque University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Cremer A; Department of Cardiology, Bordeaux Saint André University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Doublet J; Department of Cardiology, Bordeaux Saint André University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Robert G; Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
  • Alezra E; Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
Fr J Urol ; : 102752, 2024 Sep 26.
Article em En | MEDLINE | ID: mdl-39341461
ABSTRACT

OBJECTIVE:

Laparoscopic adrenalectomy (LA) has emerged as the gold standard for the management of adrenal diseases. Despite its low complication rate, the utilization of LA in outpatient settings remains limited. This study explored the feasibility of outpatient LA for primary aldosteronism (PA). DESIGN &

METHODS:

A retrospective analysis was conducted by reviewing the medical records of consecutive LA procedures performed for PA in our department from 2013 to 2021. A successful outpatient procedure was defined as same-day discharge, less than 12 hours after admission, with no readmission within 48 hours. A postoperative day one (D1) follow-up call by a nurse assessed complications, pain, and patient satisfaction (Numeric Rating Scale [0-10]). Follow-up visits were scheduled at one, three, and six months.

RESULTS:

During the study period, 76 LAs were performed for PA, with 60 (78.9%) being outpatient procedures. Sixteen patients (21.9%) were not selected for outpatient procedures. The main reasons for contraindicating outpatient procedures were anesthetic or social issues. The success rate of the outpatient procedures was 95% (57/60), with no reported surgical complications. Prolonged hospitalization occurred due to medical reasons such as pain or vomiting. There were no readmissions within 48 hours after discharge. The mean pain and patient satisfaction, evaluated at D1, were 2.1/10 and 9.4/10, respectively. At 6 months, 32 patients (59.2%) were cured without any antihypertensive drugs, and 15 (27.8%) were improved (reduction of their antihypertensive treatment).

CONCLUSION:

Outpatient LA for PA has demonstrated feasibility with a high success rate, no readmissions, low postoperative pain, and a high level of patient satisfaction.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Fr J Urol Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Fr J Urol Ano de publicação: 2024 Tipo de documento: Article