Incidence of venous thromboembolism following adrenalectomy: A CESQIP analysis.
Am J Surg
; 228: 226-229, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-37852845
ABSTRACT
BACKGROUND:
We aim to evaluate the incidence of venous thromboembolism (VTE) following adrenalectomy.METHODS:
A retrospective analysis of the Collaborative Endocrine Surgery Quality Improvement Program was performed to assess incidence for VTE, including pulmonary embolism or deep vein thrombosis, in adults undergoing adrenalectomy (2014-2022).RESULTS:
2567 patients undergoing adrenalectomy were included. Surgical approach was 10% open and 90% minimally invasive. Pathology was 13% malignant and 87% benign; 19% had hypercortisolism. VTE developed in 0.27% at a median of 8 days from surgery. The incidence was higher in primary adrenal malignancy compared to benign or metastases to the adrenals, p â< â0.01. VTE was associated with longer hospital stay, longer operative time, readmission, and mortality. VTE rates were similar for hypercortisolism vs no hypercortisolism and between patients with clinical vs subclinical hypercortisolism.CONCLUSION:
Although VTE following adrenalectomy is rare, it is more common in cases of primary adrenal malignancy, those with longer operations, or those requiring prolonged hospitalization.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Tipos_de_cancer
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Outros_tipos
Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
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Neoplasias das Glândulas Suprarrenais
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Síndrome de Cushing
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Tromboembolia Venosa
Limite:
Adult
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Humans
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos