Laparoscopic Adrenalectomy in Elderly Patients

被引：8

作者：

Weinandt, Marthe ^{[1
]}

Gaujoux, Sebastien ^{[1
,2
,3
]}

Khayat, Antoine ^{[1
]}

Bertherat, Jerome ^{[2
,4
,5
]}

Baillard, Christophe ^{[3
,6
]}

Dousset, Bertrand ^{[1
,2
,3
]}

机构：

[1] Cochin Hosp, APHP, Referral Ctr Rare Adrenal Dis, Dept Digest Hepatobiliary & Endocrine Surg, Paris, France

[2] Inst Cochin, INSERM, Unite 1016, CNRS,UMR, Paris, France

[3] Paris Descartes Univ, Med Sch Paris Descartes, Sorbonne Paris Cite, Paris, France

[4] Inst Natl Canc, Rare Adrenal Canc Network Corticomedullosurrenale, Paris, France

[5] Cochin Hosp, APHP, Dept Endocrinol, Paris, France

[6] Cochin Hosp, APHP, Dept Anesthesiol, Paris, France

来源：

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2017年 / 27卷 / 06期

关键词：

elderly; adrenalectomy; morbidity; adrenal disease; adrenal tumor; COLORECTAL-CANCER SURGERY; AGED; 75; YEARS; POSTOPERATIVE MORTALITY; RISK-FACTORS; CARCINOMA; COMPLICATIONS; RESECTION; OUTCOMES; RATES; CLASSIFICATION;

D O I：

10.1097/SLE.0000000000000465

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

With increase life expectancy, surgical indications in elderly become more frequent. The aim of this study was to analyze indications and outcome of laparoscopic adrenalectomy in patients over 75. Between 1994 and 2014, 641 patients underwent laparoscopic adrenalectomy. Preoperatively, all patients had a standardized preoperative work-up. Patients over 75 were compared with a control group of younger patients. The median age was 52 years (41 to 61) and 3.6% of patients (n=23) were over 75. Patients over 75 were more frequently operated for malignant lesion (21.7% vs. 4.7%; P=0.005). There was no postoperative mortality. Conversion rate was 3.4% (n=22), with no significant difference between the groups. The overall morbidity and severe morbidity rates were, respectively, 16.9% and 3.3%, with no significant difference between the groups. In experienced team and for selected patients, laparoscopic adrenalectomy after 75 years is safe, without increased postoperative morbidity, as compared with younger population.

引用

页码：E132 / E135

页数：4

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