{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:52:17Z","timestamp":1787017937932,"version":"build-2736575974"},"reference-count":21,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2021]]},"abstract":"<b><i>Introduction:<\/i><\/b> Obesity is usually considered a risk factor for surgical complications. Laparoscopic adrenalectomy has replaced open adrenalectomy as the standard operation for adrenal tumors. <b><i>Objective:<\/i><\/b> To compare the safety of laparoscopic adrenalectomy to treat adrenal tumors in obese versus nonobese patients. <b><i>Methods:<\/i><\/b> This observational cohort study analyzed consecutive patients who underwent laparoscopic adrenalectomy with a lateral transperitoneal approach at a single center (2003\u20132020). Data and outcomes of obese (body mass index \u226530 kg\/m<sup>2<\/sup>) and nonobese patients were compared. To analyze the association between operative time and other variables, we used simple and multivariate linear regression. <b><i>Results:<\/i><\/b> <i>N<\/i> = 160 (90 obese\/70 nonobese) patients underwent laparoscopic adrenalectomy. Cushing syndrome and pheochromocytoma were the most frequent indications. Obese patients were older (58 vs. 52 years, <i>p<\/i> &#x3c; 0.001). A greater proportion of obese patients were ASA grade III + IV (71.1 vs. 48.6%, <i>p<\/i> = 0.004). Obesity was associated with a longer operative time (72.5 vs. 60 min, <i>p<\/i> &#x3c; 0.001) and greater blood loss (40 vs. 20 mL, <i>p<\/i> = 0.022). There were no differences in conversion, morbidity, or hospital stay. After adjustment for confounding factors, operative time was positively correlated with BMI \u226530 kg\/m<sup>2<\/sup>, learning curve, estimated blood loss, 2D laparoscopy, and specimen size. <b><i>Conclusion:<\/i><\/b> Lateral transperitoneal laparoscopic adrenalectomy is safe in patients with a BMI 30\u201335 kg\/m<sup>2<\/sup>, so these patients also benefit from this minimally invasive surgery.<\/jats:p>","DOI":"10.1159\/000515589","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T17:01:21Z","timestamp":1619542881000},"page":"237-246","source":"Crossref","is-referenced-by-count":17,"title":["Comparison of Outcomes between Obese and Nonobese Patients in Laparoscopic Adrenalectomy: A Cohort Study"],"prefix":"10.1159","volume":"38","author":[{"given":"Jos\u00e9 Ignacio","family":"Rodr\u00edguez-Hermosa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pere","family":"Planellas-Gin\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00eddia","family":"Cornejo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Giron\u00e8s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f2nica","family":"Recasens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Jos\u00e9","family":"Ortega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Mar\u00eda","family":"Moreno-Navarrete","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e8ssica","family":"Latorre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Manuel","family":"Fernandez-Real","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoni","family":"Codina-Cazador","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2021,4,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.18999\/nagjms.80.1.21"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2017.06.023"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.rec.2016.02.009"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-4830-0"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.2648"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-010-0697-z"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07264-1"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-020-00880-w"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.4293\/108680812X13291597715862"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1553350610365703"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000431183"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.09.004"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-017-4095-3"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8921"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.05.032"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-001-8302-8"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1070-2"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1159\/000371749"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-016-1535-8"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2015.07.045"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7558"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/515589","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/515589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T12:36:05Z","timestamp":1745411765000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000515589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":21,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,6,8]]},"published-print":{"date-parts":[[2021,6,8]]}},"URL":"https:\/\/doi.org\/10.1159\/000515589","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"value":"0253-4886","type":"print"},{"value":"1421-9883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021]]}}}