Predictors of complication after adrenalectomy

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSROUGI, Victor
dc.contributor.authorBARBOSA, Joao A. B.
dc.contributor.authorMASSAUD, Isaac
dc.contributor.authorCAVALCANTE, Isadora P.
dc.contributor.authorTANNO, Fabio Y.
dc.contributor.authorALMEIDA, Madson Q.
dc.contributor.authorSROUGI, Miguel
dc.contributor.authorFRAGOSO, Maria C.
dc.contributor.authorCHAMBO, Jose L.
dc.date.accessioned2019-06-26T17:26:27Z
dc.date.available2019-06-26T17:26:27Z
dc.date.issued2019
dc.description.abstractPurpose: To investigate risk factors for complications in patients undergoing adrenalectomy. Materials and Methods: A retrospective search of our institutional database was performed of patients who underwent adrenalectomy, between 2014 and 2018. Clinical parameters and adrenal disorder characteristics were assessed and correlated to intra and post-operative course. Complications were analyzed within 30-days after surgery. A logistic regression was performed in order to identify independent predictors of morbidity in patients after adrenalectomy. Results: The files of 154 patients were reviewed. Median age and Body Mass Index (BMI) were 52-years and 27.8kg/m(2), respectively. Mean tumor size was 4.9 +/- 4cm. Median surgery duration and estimated blood loss were 140min and 50mL, respectively. There were six conversions to open surgery. Minor and major post-operative complications occurred in 17.5% and 8.4% of the patients. Intra-operative complications occurred in 26.6% of the patients. Four patients died. Mean hospitalization duration was 4-days (Interquartile Range: 3-8). Patients age (p=0.004), comorbidities (p=0.003) and pathological diagnosis (p=0.003) were independent predictors of post-operative complications. Tumor size (p<0.001) and BMI (p=0.009) were independent predictors of intra-operative complications. Pathological diagnosis (p<0.001) and Charlson score (p=0.013) were independent predictors of death. Conclusion: Diligent care is needed with older patients, with multiple comorbidities and harboring unfavorable adrenal disorders (adrenocortical carcinoma and pheocromocytoma), who have greater risk of post-operative complications. Patients with elevated BMI and larger tumors have higher risk of intra, but not of post-operative complications.eng
dc.description.indexMEDLINEeng
dc.identifier.citationINTERNATIONAL BRAZ J UROL, v.45, n.3, p.514-522, 2019
dc.identifier.doi10.1590/S1677-5538.IBJU.2018.0482
dc.identifier.eissn1677-6119
dc.identifier.issn1677-5538
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/32400
dc.language.isoeng
dc.publisherBRAZILIAN SOC UROLeng
dc.relation.ispartofInternational Braz J Urol
dc.rightsopenAccesseng
dc.rights.holderCopyright BRAZILIAN SOC UROLeng
dc.subjectAdrenalectomyeng
dc.subjectMorbidityeng
dc.subjectPathologyeng
dc.subject.otherlaparoscopic adrenalectomyeng
dc.subject.otherrisk-factorseng
dc.subject.othermorbidityeng
dc.subject.otheroutcomeseng
dc.subject.otherconversioneng
dc.subject.otherresectioneng
dc.subject.othersurgeryeng
dc.subject.otherpatienteng
dc.subject.wosUrology & Nephrologyeng
dc.titlePredictors of complication after adrenalectomyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalCAVALCANTE, Isadora P.:Univ Sao Paulo, Fac Med, Div Endocrinol, Sao Paulo, Brazil
hcfmusp.citation.scopus5
hcfmusp.contributor.author-fmusphcVICTOR SROUGI
hcfmusp.contributor.author-fmusphcJOAO ARTHUR BRUNHARA ALVES BARBOSA
hcfmusp.contributor.author-fmusphcISAAC MASSAUD AMIM AMARAL
hcfmusp.contributor.author-fmusphcFABIO YOSHIAKI TANNO
hcfmusp.contributor.author-fmusphcMADSON QUEIROZ DE ALMEIDA
hcfmusp.contributor.author-fmusphcMIGUEL SROUGI
hcfmusp.contributor.author-fmusphcMARIA CANDIDA BARISSON VILLARES FRAGOSO
hcfmusp.contributor.author-fmusphcJOSE LUIS CHAMBO
hcfmusp.description.beginpage514
hcfmusp.description.endpage522
hcfmusp.description.issue3
hcfmusp.description.volume45
hcfmusp.origemWOS
hcfmusp.origem.pubmed31038857
hcfmusp.origem.scieloSCIELO:S1677-55382019000300514
hcfmusp.origem.scopus2-s2.0-85067268376
hcfmusp.origem.wosWOS:000469040400012
hcfmusp.publisher.cityRIO DE JANEIROeng
hcfmusp.publisher.countryBRAZILeng
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