{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T15:21:08Z","timestamp":1781450468655,"version":"3.54.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We aimed to compare the results of patients who underwent laparoscopic adrenalectomy (LA) for masses \u22656\u2009cm versus &lt;6\u2009cm in diameter in our tertiary referral university hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Three hundred thirty consecutive patients were divided into two groups according to tumor size (\u22656 and &lt;6\u2009cm in diameter). Demographic variables, body mass index (BMI), lesion localization (right\/left), tumor diameter, pathological diagnosis and surgical outcomes, including operation time, estimated blood loss (EBL), conversion to open surgery, complications, and length of hospital stay were compared between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Between February 2008 and March 2020, 53 patients (29 male\u201324 female) with \u22656\u2009cm (L group) adrenal tumor and 277 patients (105 male\u2013172 female) with &lt;6\u2009cm tumor (S group) underwent transperitoneal LA. One hundred sixty-eight (50.9%) tumors localized on the left side. In L group mean tumor size in female and male patients was 87.5\u2009\u00b1\u200940.8\u2009mm (range 50\u2013225\u2009mm) and 67.3\u2009\u00b1\u200918.4\u2009mm (range 10\u2013100\u2009mm), respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05). Age, American Society of Anesthesiology scores, BMI, and mean operation time were similar between groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&gt;\u2009.05). Postoperative complications were more often in L group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.005). EBL in group L and group S was 86\u2009\u00b1\u200970.4\u2009mL (range 10\u2013500\u2009mL) and 55\u2009\u00b1\u200944.2\u2009mL (range 10\u2013300\u2009mL), respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.003). Length of hospital stay in group L and group S was 3.7\u2009\u00b1\u20093.5 days (range 1\u201326) and 3\u2009\u00b1\u20091.6 days (range 1\u20139), respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.086). Significant variables in multivariate analysis, including gender (male), EBL, and postoperative complication rate, were entered into multivariate regression analysis, which presented that EBL and postoperative complication rates were independent significants for the L group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Six centimeters should not be considered as an upper limit of transperitoneal lateral LA and may be safely performed in centers with experience. Further studies are needed to confirm our data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0505","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T11:50:15Z","timestamp":1595850615000},"page":"301-305","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Is 6\u2009cm Diameter an Upper Limit for Adrenal Tumors to Perform Laparoscopic Adrenalectomy?"],"prefix":"10.1177","volume":"31","author":[{"given":"Mehmet Cagatay","family":"Cicek","sequence":"first","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadir Omur","family":"Gunseren","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaz\u0131m","family":"Senol","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine, Uludag University, Bursa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Vuruskan","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismet","family":"Yavascaoglu","sequence":"additional","affiliation":[{"name":"Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1607-551X(09)70539-X"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00083-6"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199210013271417"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-9941.103110"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6309-7"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)67471-8"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6601-6"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3169-z"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2000.14.149"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02557272"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1159\/000444146"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.4158\/EP12014.OR"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680810X12924466007160"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9709-7"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-019-1765-7"},{"key":"e_1_3_3_17_2","first-page":"21","article-title":"Obesity does not affect peri- and postoperative outcomes of transabdominal laparoscopic adrenalectomy","volume":"80","author":"Inaishi T","year":"2018","unstructured":"Inaishi T, , Kikumori T, , Takeuchi D, , Ishihara H, , Miyajima N, , Shibata M, et al. 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Risk factors for prolonged hospitalization in patients undergoing laparoscopic adrenalectomy. 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