title: Laparoscopic transperitoneal adrenalectomy in morbidly obese patients is not associated with worse short-term outcomes.
abstract: To evaluate the impact of obesity and morbid obesity on short-term outcomes after laparoscopic adrenalectomy.
  
  
  
  The study included 520 consecutive patients undergoing laparoscopic adrenalectomy for adrenal tumor. The entire study group was divided depending on the body mass index: group 1 (normal weight), <25 kg/m2; group 2 (overweight), 25-30 kg/m2; and group 3 (obese) 30-40 kg/m2. Additionally, group 4 (morbidly obese) was distinguished. Study end-points were: operative time, intraoperative blood loss, total length of hospital stay, morbidity rate and 30-day readmission rate.
  
  
  
  The mean operative times were 88.8, 94.7, 93.5, and 99.9 min in groups 1, 2, 3 and 4, respectively (P = 0.1444). Complications were comparable between groups (12.8% vs 8.8% vs 8.2% vs 11.5%, P = 0.5295). The mean intraoperative blood loss was 66.8 versus 78.3 versus 60.7 versus 92.4, P = 0.1399. There were no differences in conversion rate between groups.
  
  
  
  Obesity has no influence on short-term outcomes of laparoscopic transperitoneal adrenalectomy. This procedure is feasible regardless of the body mass index. Therefore, it can be offered to all patient groups including those morbidly obese individuals in whose case preoperative weight loss seems unnecessary.
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Pędziwiatr
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Major
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Pisarska
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Natkaniec
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Godlewska
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Przęczek
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Jadwiga
authors.initials: J
authors.lastname: Dworak
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Marcin
authors.initials: M
authors.lastname: Dembiński
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Zub-Pokrowiecka
authors.affiliation: 2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Budzyński
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000601:surgery*; D000311:Adrenal Glands / Q000601:surgery; D000315:Adrenalectomy / Q000009:adverse effects* / Q000379:methods; D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D015992:Body Mass Index; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications*; D061646:Operative Time; D010529:Peritoneal Cavity / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: adrenalectomy; incidentaloma; laparoscopy; morbid obesity; pheochromocytoma