Systemic inflammatory response syndrome in open versus laparoscopic adrenalectomy
To compare the surgical invasiveness of laparoscopic adrenalectomy with that of open surgery when the invasiveness is evaluated by the incidence of systemic inflammatory response syndrome (SIRS). Patients who underwent open adrenalectomy (35 patients) and those who underwent transperitoneal laparosc...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2004-09, Vol.64 (3), p.422-425 |
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| container_title | Urology (Ridgewood, N.J.) |
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| creator | Mutoh, Masatoshi Takeyama, Koh Nishiyama, Naotaka Kunishima, Yasuharu Matsukawa, Masanori Takahashi, Satoshi Hotta, Hiroshi Itoh, Naoki Tsukamoto, Taiji |
| description | To compare the surgical invasiveness of laparoscopic adrenalectomy with that of open surgery when the invasiveness is evaluated by the incidence of systemic inflammatory response syndrome (SIRS).
Patients who underwent open adrenalectomy (35 patients) and those who underwent transperitoneal laparoscopic adrenalectomy (35 patients) were included in this study. We retrospectively investigated the incidence and duration of SIRS in the two groups. Of the 70 patients, 39 had primary aldosteronism and 31 had clinically nonfunctioning adrenal tumors.
The incidence of SIRS was 51.4% (18 patients) in the open group and 31.4% (11 patients) in the laparoscopic group (
P = 0.14, Fisher's exact probability test). The mean duration of SIRS was 1.9 days in the open group and 1.2 days in the laparoscopic group (
P = 0.04, unpaired
t test). Surgical site infection, which occurred in 2 patients in the open group (5.7%) and 3 patients (8.5%) in the laparoscopic group, was the only infectious complication. No patient had any severe or life-threatening complications.
Laparoscopic adrenalectomy seems less invasive than open surgery, when the magnitude of the invasiveness is evaluated by the incidence of SIRS. |
| doi_str_mv | 10.1016/j.urology.2004.04.042 |
| format | Article |
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Patients who underwent open adrenalectomy (35 patients) and those who underwent transperitoneal laparoscopic adrenalectomy (35 patients) were included in this study. We retrospectively investigated the incidence and duration of SIRS in the two groups. Of the 70 patients, 39 had primary aldosteronism and 31 had clinically nonfunctioning adrenal tumors.
The incidence of SIRS was 51.4% (18 patients) in the open group and 31.4% (11 patients) in the laparoscopic group (
P = 0.14, Fisher's exact probability test). The mean duration of SIRS was 1.9 days in the open group and 1.2 days in the laparoscopic group (
P = 0.04, unpaired
t test). Surgical site infection, which occurred in 2 patients in the open group (5.7%) and 3 patients (8.5%) in the laparoscopic group, was the only infectious complication. No patient had any severe or life-threatening complications.
Laparoscopic adrenalectomy seems less invasive than open surgery, when the magnitude of the invasiveness is evaluated by the incidence of SIRS.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2004.04.042</identifier><identifier>PMID: 15351556</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adrenal Gland Neoplasms - surgery ; Adrenalectomy - methods ; Adult ; Antibiotic Prophylaxis ; Biological and medical sciences ; Cephalosporins - administration & dosage ; Cephalosporins - therapeutic use ; Female ; Humans ; Hyperaldosteronism - surgery ; Incidence ; Laparoscopy ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; Penicillins - administration & dosage ; Penicillins - therapeutic use ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Retrospective Studies ; Systemic Inflammatory Response Syndrome - epidemiology ; Systemic Inflammatory Response Syndrome - etiology ; Time Factors</subject><ispartof>Urology (Ridgewood, N.J.), 2004-09, Vol.64 (3), p.422-425</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-b4061d611d3d1253ca92ef6b5caf10370b4a2ec0810f73e118030992671fd0643</citedby><cites>FETCH-LOGICAL-c420t-b4061d611d3d1253ca92ef6b5caf10370b4a2ec0810f73e118030992671fd0643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090429504005357$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16116250$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15351556$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mutoh, Masatoshi</creatorcontrib><creatorcontrib>Takeyama, Koh</creatorcontrib><creatorcontrib>Nishiyama, Naotaka</creatorcontrib><creatorcontrib>Kunishima, Yasuharu</creatorcontrib><creatorcontrib>Matsukawa, Masanori</creatorcontrib><creatorcontrib>Takahashi, Satoshi</creatorcontrib><creatorcontrib>Hotta, Hiroshi</creatorcontrib><creatorcontrib>Itoh, Naoki</creatorcontrib><creatorcontrib>Tsukamoto, Taiji</creatorcontrib><title>Systemic inflammatory response syndrome in open versus laparoscopic adrenalectomy</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>To compare the surgical invasiveness of laparoscopic adrenalectomy with that of open surgery when the invasiveness is evaluated by the incidence of systemic inflammatory response syndrome (SIRS).
Patients who underwent open adrenalectomy (35 patients) and those who underwent transperitoneal laparoscopic adrenalectomy (35 patients) were included in this study. We retrospectively investigated the incidence and duration of SIRS in the two groups. Of the 70 patients, 39 had primary aldosteronism and 31 had clinically nonfunctioning adrenal tumors.
The incidence of SIRS was 51.4% (18 patients) in the open group and 31.4% (11 patients) in the laparoscopic group (
P = 0.14, Fisher's exact probability test). The mean duration of SIRS was 1.9 days in the open group and 1.2 days in the laparoscopic group (
P = 0.04, unpaired
t test). Surgical site infection, which occurred in 2 patients in the open group (5.7%) and 3 patients (8.5%) in the laparoscopic group, was the only infectious complication. No patient had any severe or life-threatening complications.
Laparoscopic adrenalectomy seems less invasive than open surgery, when the magnitude of the invasiveness is evaluated by the incidence of SIRS.</description><subject>Adrenal Gland Neoplasms - surgery</subject><subject>Adrenalectomy - methods</subject><subject>Adult</subject><subject>Antibiotic Prophylaxis</subject><subject>Biological and medical sciences</subject><subject>Cephalosporins - administration & dosage</subject><subject>Cephalosporins - therapeutic use</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperaldosteronism - surgery</subject><subject>Incidence</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Penicillins - administration & dosage</subject><subject>Penicillins - therapeutic use</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Retrospective Studies</subject><subject>Systemic Inflammatory Response Syndrome - epidemiology</subject><subject>Systemic Inflammatory Response Syndrome - etiology</subject><subject>Time Factors</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEGL1TAQx4Mou891P4LSi976nEmb9PUksrirsCCinkNeMpU82qZm2oV-e7P7CnsUBuaQ338y8xPiLcIeAfXH035JsY9_1r0EqPdPJV-IHSrZlG3bqpdiB9BCWctWXYrXzCcA0Fo3F-ISVaVQKb0TP36uPNMQXBHGrrfDYOeY1iIRT3FkKngdfYoD5eciTjQWD5R44aK3k02RXZxy1PpEo-3JzXFY34hXne2Zrrd-JX7ffvl187W8_3737ebzfelqCXN5rEGj14i-8ihV5WwrqdNH5WyHUDVwrK0kBweErqkI8QAVtK3UDXYedF1diQ_nuVOKfxfi2QyBHfW9HSkubLQ-KNRaZVCdQZcX5kSdmVIYbFoNgnl0aU5mc2keXZqnkjn3bvtgOQ7kn1ObvAy83wDLzvZdsqML_Mzl47RUkLlPZ46yjodAybALNDryIWVnxsfwn1X-AdJkli8</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>Mutoh, Masatoshi</creator><creator>Takeyama, Koh</creator><creator>Nishiyama, Naotaka</creator><creator>Kunishima, Yasuharu</creator><creator>Matsukawa, Masanori</creator><creator>Takahashi, Satoshi</creator><creator>Hotta, Hiroshi</creator><creator>Itoh, Naoki</creator><creator>Tsukamoto, Taiji</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040901</creationdate><title>Systemic inflammatory response syndrome in open versus laparoscopic adrenalectomy</title><author>Mutoh, Masatoshi ; Takeyama, Koh ; Nishiyama, Naotaka ; Kunishima, Yasuharu ; Matsukawa, Masanori ; Takahashi, Satoshi ; Hotta, Hiroshi ; Itoh, Naoki ; Tsukamoto, Taiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-b4061d611d3d1253ca92ef6b5caf10370b4a2ec0810f73e118030992671fd0643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adrenal Gland Neoplasms - surgery</topic><topic>Adrenalectomy - methods</topic><topic>Adult</topic><topic>Antibiotic Prophylaxis</topic><topic>Biological and medical sciences</topic><topic>Cephalosporins - administration & dosage</topic><topic>Cephalosporins - therapeutic use</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperaldosteronism - surgery</topic><topic>Incidence</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Penicillins - administration & dosage</topic><topic>Penicillins - therapeutic use</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Retrospective Studies</topic><topic>Systemic Inflammatory Response Syndrome - epidemiology</topic><topic>Systemic Inflammatory Response Syndrome - etiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mutoh, Masatoshi</creatorcontrib><creatorcontrib>Takeyama, Koh</creatorcontrib><creatorcontrib>Nishiyama, Naotaka</creatorcontrib><creatorcontrib>Kunishima, Yasuharu</creatorcontrib><creatorcontrib>Matsukawa, Masanori</creatorcontrib><creatorcontrib>Takahashi, Satoshi</creatorcontrib><creatorcontrib>Hotta, Hiroshi</creatorcontrib><creatorcontrib>Itoh, Naoki</creatorcontrib><creatorcontrib>Tsukamoto, Taiji</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mutoh, Masatoshi</au><au>Takeyama, Koh</au><au>Nishiyama, Naotaka</au><au>Kunishima, Yasuharu</au><au>Matsukawa, Masanori</au><au>Takahashi, Satoshi</au><au>Hotta, Hiroshi</au><au>Itoh, Naoki</au><au>Tsukamoto, Taiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systemic inflammatory response syndrome in open versus laparoscopic adrenalectomy</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>64</volume><issue>3</issue><spage>422</spage><epage>425</epage><pages>422-425</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>To compare the surgical invasiveness of laparoscopic adrenalectomy with that of open surgery when the invasiveness is evaluated by the incidence of systemic inflammatory response syndrome (SIRS).
Patients who underwent open adrenalectomy (35 patients) and those who underwent transperitoneal laparoscopic adrenalectomy (35 patients) were included in this study. We retrospectively investigated the incidence and duration of SIRS in the two groups. Of the 70 patients, 39 had primary aldosteronism and 31 had clinically nonfunctioning adrenal tumors.
The incidence of SIRS was 51.4% (18 patients) in the open group and 31.4% (11 patients) in the laparoscopic group (
P = 0.14, Fisher's exact probability test). The mean duration of SIRS was 1.9 days in the open group and 1.2 days in the laparoscopic group (
P = 0.04, unpaired
t test). Surgical site infection, which occurred in 2 patients in the open group (5.7%) and 3 patients (8.5%) in the laparoscopic group, was the only infectious complication. No patient had any severe or life-threatening complications.
Laparoscopic adrenalectomy seems less invasive than open surgery, when the magnitude of the invasiveness is evaluated by the incidence of SIRS.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15351556</pmid><doi>10.1016/j.urology.2004.04.042</doi><tpages>4</tpages></addata></record> |
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| subjects | Adrenal Gland Neoplasms - surgery Adrenalectomy - methods Adult Antibiotic Prophylaxis Biological and medical sciences Cephalosporins - administration & dosage Cephalosporins - therapeutic use Female Humans Hyperaldosteronism - surgery Incidence Laparoscopy Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Penicillins - administration & dosage Penicillins - therapeutic use Postoperative Complications - epidemiology Postoperative Complications - etiology Retrospective Studies Systemic Inflammatory Response Syndrome - epidemiology Systemic Inflammatory Response Syndrome - etiology Time Factors |
| title | Systemic inflammatory response syndrome in open versus laparoscopic adrenalectomy |
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