title: Outcome of Laparoscopic Adrenalectomy in Obese Patients.
abstract: OBJECTIVE
  To compare early morbidity of obese and nonobese patients with minimally invasive adrenalectomies.
  
  
  METHODS
  Retrospective study of a prospectively maintained database, between June 2003 - December 2012, in a universitary affiliated tertiary hospital. Selection criteria: Minimally invasive adrenalectomy. Obese patients were defined as BMI over 30 kg/m2.
  
  
  RESULTS
  From 205 patient with laparoscopic adrenalectomies we counted 30 obese patients (OG), 25 of them female and only 5 men with a median age of 54,20 years versus 47,94 years for nonobese group (NOG) (p=0.008). In OG were 15 right sided tumor, 11 on the left side and 4 bilateral all treated with transperitoneal antero-lateral approach. Median operating time was 92.20 minutes for OG versus 91.13 minutes for NOG (p=0.924). In OG, 5 patients had previous abdominal surgeries and we counted 4 conversion to open surgery, 2 postoperative complications (6.6%) and no mortality. All OG patients have diverse comorbidities, 50% of them more then 3. Median specimen size was 5.92 cm for OG versus 4.85 cm for NOG (p=0.057). The histology of OG was: adenoma 11 cases, hiperplasia 13 cases and pheochromocytoma 6. In NOG we had: postoperative hospital stay was 6.57 days in OG versus 4.11 days in NOG (p=0.009).
  
  
  CONCLUSIONS
  Although obese patients had a higher rate for early morbidities, the minimally invasive approach has particular benefits for them. Although postoperative hospital stay was significantly longer, we believe that advantages of minimal invasive surgery for obese patients remains valid even in a BMI over 30.
authors.affiliation: "C. I. Parhon" National Institute of Endocrinology, Bucharest, Romania.
authors.forename: Diana
authors.initials: D
authors.lastname: Paun
authors.affiliation: "C. I. Parhon" National Institute of Endocrinology, Bucharest, Romania.
authors.forename: Rodica
authors.initials: R
authors.lastname: Petris
authors.affiliation: Emergency Hospital Bucharest, Romania.
authors.forename: Roxana
authors.initials: R
authors.lastname: Ganescu
authors.affiliation: Emergency Hospital Bucharest, Romania.
authors.forename: Sorin
authors.initials: S
authors.lastname: Paun
authors.affiliation: Emergency Hospital Bucharest, Romania.
authors.forename: Mihaela
authors.initials: M
authors.lastname: Vartic
authors.affiliation: Emergency Hospital Bucharest, Romania.
authors.forename: Mircea
authors.initials: M
authors.lastname: Beuran