Evidence map›Paper›PMID 35854264›Full record

ReviewBMC surgery2022

Postoperative outcomes of minimally invasive adrenalectomy: do body mass index and tumor size matter? A single-center experience.

Felipe Girón, Carlos Eduardo Rey Chaves, Lina Rodríguez, Roberto Javier Rueda-Esteban, Ricardo E Núñez-Rocha, Sara Toledo, Danny Conde, Juan David Hernández, Marco Vanegas, Ricardo Nassar

Open access · goldAbstract readReview
In one paragraph

Review in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. The Clinical Impact of Thoracic Endovascular Aortic Repair in the Management of Thoracic Aortic Diseases.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Felipe GirónDepartment of Surgery, Fundación Santa Fé de Bogotá, 110111, Bogotá, DC, Colombia. felipegiron15@gmail.com.
Carlos Eduardo Rey ChavesSchool of Medicine, Universidad del Rosario, Carrera 7 # 117-15, 111711, Bogotá, DC, Colombia.
Lina RodríguezSchool of Medicine, Universidad de los Andes, 111711, Bogotá, DC, Colombia.
Roberto Javier Rueda-EstebanSchool of Medicine, Universidad de los Andes, 111711, Bogotá, DC, Colombia.
Ricardo E Núñez-RochaSchool of Medicine, Universidad de los Andes, 111711, Bogotá, DC, Colombia.
Sara ToledoSchool of Medicine, Universidad de los Andes, 111711, Bogotá, DC, Colombia.
Danny CondeSchool of Medicine, Universidad del Rosario, Carrera 7 # 117-15, 111711, Bogotá, DC, Colombia.
Juan David HernándezDepartment of Surgery, Fundación Santa Fé de Bogotá, 110111, Bogotá, DC, Colombia.
Marco VanegasSchool of Medicine, Universidad del Rosario, Carrera 7 # 117-15, 111711, Bogotá, DC, Colombia.
Ricardo NassarSchool of Medicine, Universidad de los Andes, 111711, Bogotá, DC, Colombia.
Universidad de Los Andes · COUniversidad del Rosario · COFundación Santa Fe de Bogotá · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince Gagner performed the first laparoscopic adrenalectomy in 1992, laparoscopy has become the gold-standard procedure in the treatment of adrenal surgical diseases. A review of the literature indicates that the rate of intra- and postoperative complications are not negligible. This study aims to describe the single-center experience of adrenalectomies; and explore the associations between body mass index (BMI) and tumor volume in main postoperative outcomes.

methodsRetrospective observational study with a prospective database in which we described patients who underwent adrenalectomy between January 2015 and December 2020. Operative time, intraoperative blood loss, conversion rate, complications, length of hospital stay, and comparison of the number of antihypertensive drugs used before and after surgery were analyzed. Analysis of BMI and tumor volume with postoperative outcomes such as anti-hypertensive change (AHC) in drug usage and pre-operative conditions were performed.

resultsForty-five adrenalectomies were performed, and all of them were carried out laparoscopically. Four were performed as a robot-assisted laparoscopy approach. Nineteen were women and 26 were men. Mean age was 54.9 ± 13.8 years. Mean tumor volume was 95.698 mm

conclusionsObese patients could have an increased impact with surgery with an increased change in postoperative anti-hypertensive management. Tumor volume is associated with increased operative time and blood loss, our data suggest that it could be associated with increased rates of morbidity. However, further prospective studies with larger sample sizes are needed to validate our results.

Indexed as

Adrenal Gland NeoplasmsLaparoscopyAdrenalectomyAdultAgedAntihypertensive AgentsBlood Loss, SurgicalBody Mass IndexFemaleHumansLength of StayMaleMiddle AgedObservational Studies as TopicPostoperative ComplicationsPostoperative PeriodAntihypertensive AgentsAdrenalectomyHypertensionLaparoscopicOutcomesRobot-assisted

Identifiers

PMID35854264
PMCPMC9297646
OpenAlexW4285793023

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.