{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:37:56Z","timestamp":1786649876973,"version":"build-2736575974"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Incidental adrenal masses are found in up to 7% of all patients undergoing abdominal imaging. Data from the American College of Surgeons National Surgical Quality Improvement Program suggests that over 95% adrenalectomies are performed by general surgeons. To assess outcomes when surgeries are performed by urologists, we reviewed our database of adrenalectomies performed in the past 17 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this study, we reviewed our database of patients who underwent adrenalectomies between 2008 and 2024 in the department of urology. Clinical parameters were recorded for all patients, including their demographic profile, metabolic and radiological parameters, operative details, and complications. Outcomes were reported, and data for minimally invasive surgery were compared with those for open surgery (OS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the study period, 320 patients underwent 383 adrenalectomies, including 275 patients (85.9%) who had functional tumors, 69% of which were pheochromocytomas, 15.6% Cushing\u2019s syndrome, and 11.2% Conn\u2019s syndrome. Sixty-three patients had bilateral surgeries. Over 80% (260) patients had laparoscopic surgeries, and an additional 12 were robot-assisted. Six were converted to OS. The mean operative time (122.1 \u00b1 58.3 min vs. 194.1 \u00b1 76.4 min), median blood loss (100 mL vs. 350 mL), and median duration of hospital stay (3 vs. 5 days) were shorter for the minimally invasive approach. The overall complication rate was 6.5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Adrenalectomy, including bilateral synchronous surgery, is a safe procedure that can be performed by urologists with excellent outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_350_25","type":"journal-article","created":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T11:00:36Z","timestamp":1766833236000},"page":"24-29","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Surgical and functional outcomes of adrenalectomy by urologists: A 17-year cohort review"],"prefix":"10.4103","volume":"42","author":[{"given":"Keshav","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Urology, Pain Medicine and Critical Care, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehul","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Urology, Pain Medicine and Critical Care, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashmi","family":"Ramachandran","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Pain Medicine and Critical Care, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, Pain Medicine and Critical Care, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"R1-20251229","first-page":"1","volume":"19","year":"2002","journal-title":"NIH Consens State Sci Statements"},{"key":"R2-20251229","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/j.jacr.2006.02.031","article-title":"ACR appropriateness criteria on incidentally discovered adrenal mass","volume":"3","author":"Choyke","year":"2006","journal-title":"J Am Coll Radiol"},{"key":"R3-20251229","doi-asserted-by":"crossref","first-page":"424","DOI":"10.7326\/0003-4819-138-5-200303040-00013","article-title":"Management of the clinically inapparent adrenal mass (\u201cincidentaloma\u201d)","volume":"138","author":"Grumbach","year":"2003","journal-title":"Ann Intern Med"},{"key":"R4-20251229","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1056\/NEJMcp065470","article-title":"Clinical practice. 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