From: Clinical predictors and significance of adherent periadrenal fat in laparoscopic adrenalectomy
Characteristics | Total (n = 44) | APAF group (n = 14, % 31.8) | Non-APAF group (n = 30, % 68.2) | p |
---|---|---|---|---|
Demographic | ||||
Age (year) (Mean ± SD) | 50.8 ± 10.9 | 49.9 ± 10.3 | 51.3 ± 11.3 | 0.711t |
Gender (female) n, (%) | 28 (63.6) | 12 (85.7) | 16 (53.3) | 0.038 c |
BMI (kg/m 2 ) (Median)(min-max) | 30.2±6.6 | 32.1±4.6 | 29.4±7.1 | 0.158m |
Preoperative | ||||
Preoperative diagnosis | ||||
Pheochromocytoma, n (%) | 14 (31.8) | 3 (21.4) | 11 (36.7) | 0.348f |
Cushing’s syndrome, n (%) | 9 (20.5) | 5 (35.7) | 4 (13.2) | |
Conn’s syndrome, n (%) | 2 (4.5) | 0 (0) | 2 (6.7) | |
Myelolipoma, n (%) | 4 (9.1) | 2 (14.3) | 2 (6.7) | |
Suspect of malignancy, n (%) | 15 (34.1) | 4 (28.6) | 11 (36.7) | |
Hormonal activity | ||||
Functional, n (%) | 25 (56.8) | 8 (57.1) | 17 (56.7) | 0.976c |
Non-functional, n (%) | 19 (43.2) | 6 (42.6) | 13 (43.3) | |
Tumor size (mm) (Median)(min-max) | 40.5 (12–84) | 37 (29–60) | 42 (12–84) | 0.412 m |
Previous surgery history on surgical side, n (%) | 6 (13.6) | 2 (14.3) | 4 (13.3) | 0.812c |
Laterality | ||||
Left, n (%) | 19 (43.2) | 8 (57.1) | 11 (36.7) | 0.202c |
Right, n (%) | 25 (56.8) | 6 (42.9) | 19 (63.3) | |
ASA score | ||||
1, n (%) | 4 (9.1) | 0 (0) | 4 (13.3) | 0.435f |
2, n (%) | 27 (61.4) | 10 (71.4) | 17 (56.7) | |
3, n (%) | 13 (29.5) | 4 (28.6) | 9 (30) | |
Presence of HT, n (%) | 21 (47.7) | 9 (64.3) | 12 (40) | 0.133c |
Presence of DM, n (%) | 18 (40.9) | 11 (78.6) | 7 (23.3) | 0.001 c |
ARFD (HU) (Median)(min-max) | -102 (-110 to -65) | -91.5 (-106 to -65) | -102 (-110 to -88) | 0.001 m |
Intraoperative | ||||
Operation duration (min) (Median)(min-max) | 65 (40–128) | 76 (45–128) | 60 (40–90) | < 0.001 t |
Amount of bleeding (mL) (Median)(min-max) | 57.5 (20–200) | 62.5 (30–140) | 50 (20–200) | 0.103 m |
Intraoperative complications, n (%) | 0 (0) | 0 (0) | 0 (0) | 1c |
Postoperative | ||||
Postoperative complication, n(%) | 7 (15.9) | 2 (14.2) | 5 (16.6) | 0.624c |
Clavien-Dindo classification system | ||||
Grade 1 | ||||
Fever, n | 3 | 1 | 2 | |
Grade 2 | ||||
Pulmonary embolism, n | 1 | 0 | 1 | |
Wound infection, n | 2 | 1 | 1 | |
Grade 3 | ||||
Incisional hernia, n | 1 | 0 | 1 | |
Hospitalization (Median)(min-max) | 2 (1–12) | 2 (1–12) | 2.5 (2–11) | 0.448 m |
Histological diagnosis | ||||
Adrenocortical adenoma, n | 22 | 4 | 18 | |
Adrenocortical hyperplasia, n | 3 | 3 | 0 | |
Pheochromocytoma, n | 9 | 1 | 8 | |
Myelolipoma, n | 4 | 2 | 2 | |
Carcinoma metastasis, n | 3 | 2 | 1 | |
Epithelial cyst, n | 2 | 1 | 1 | |
Schwannoma, n | 1 | 1 | 0 |