[Adrenalectomy in Denmark 2002-2006].
BACKGROUND
Laparoscopic adrenalectomy is replacing open adrenalectomy. The advantages are reduced mortality and morbidity, and shorter postoperative hospitalisation. The organization and short-term outcomes of adrenalectomy in Denmark are largely unknown.


METHODS
Extraction, review, and analysis of data from the National Patient Register and discharge notes from 2002-2006.


RESULTS
A total of 297 adrenalectomies, of which 161 were laparoscopic, were identified. Discharge notes were reviewed in 221 of these cases (2002-2005). All except three were performed in a university hospital setting. The laparoscopic to open conversion rate was 7.6%, mortality 1%, and complication rates for open/laparoscopic adrenalectomy 25%/16%. The mean postoperative hospital stays on surgical/urological wards were 6.0/2.9 days for open and laparoscopic procedures, respectively.


CONCLUSIONS
In Denmark, the share of adrenalectomies performed laparoscopically is growing, currently reaching about 65%. Laparoscopic adrenalectomies are only performed at departments with a high frequency of laparoscopic surgery and specialized endocrinological and anaesthesiological support. For educational and research purposes, adrenalectomy should be performed at an even smaller number of departments. Postoperative hospital stay and mortality are at par with internationally reported levels, but the conversion rate of laparoscopic adrenalectomies should be reduced.
Jepsen
Jan Viberg
JV
Urologisk Afdeling, Herlev Hospital, DK-2730 Herlev. JAVIJE02@heh.regionh.dk
Kromann-Andersen
Bjarne
B
Bendixen
Anette
A
Norling
Jørgen
J
Kehlet
Henrik
H
D000315:Adrenalectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D003718:Denmark / Q000453:epidemiology; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000453:epidemiology / Q000401:mortality; D012307:Risk Factors