• Kadir Omur Gunseren, Mehmet Cagatay Cicek, Deniz Bolat, Sezgin Yeni, Hakan Vuruskan, Oz GulOzenOhttps://orcid.org/0000-0002-1332-4165Department of Endocrinology and Metabolism, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey., and Ismet Yavascaoglu.
• Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey.
• Int. J. Clin. Pract. 2021 Sep 1; 75 (9): e14427.

ObjectivesThe study aimed to assess the haemodynamic changes of laparoscopic adrenalectomy (LA) in geriatric patients with pheochromocytoma (PHEO). To the best of our knowledge, this is the first study to evaluate the haemodynamic outcomes of LA in this patient population.MethodsData of 350 patients who underwent single-side transperitoneal LA between 2000 and 2020 were reviewed retrospectively. Patients with a histopathological diagnosis of PHEO were included in the study and classified into two groups according to their ages at the date of surgery. Patients older than 65 years were accepted as elderly according to the World Health Organisation (WHO) recommendations.ResultsA total of 54 patients underwent LA for PHEO. Fifteen patients were enrolled in the elderly and 39 in the young groups. There were no significant differences in terms of the operation site (0.564), tumour size (0.878), perioperative results such as mean anaesthesia; operation times, blood loss and haemodynamic changes. There were no significant differences in mean hospitalisation and intensive care unit times. One patient in both groups had grade 1 complication according to Clavien Dindo classification (prolonged ileus, managed with medical treatment and transfusion during surgery, respectively).ConclusionYoung and elderly patients had similar outcomes in terms of haemodynamic changes that occurred with LA. LA in elderly patients with PHEO is as safe and effective as in younger patients.© 2021 John Wiley & Sons Ltd.

10 keywords...

hide…