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Safety of outpatient adrenalectomy across 3 minimally invasive approaches at 2 academic medical centers

Surgery May 15, 2020

Gartland RM, Fuentes E, Fazendin J, et al. - The characteristics and safety of outpatient adrenalectomy were reported using the largest such sample to date across 2 academic medical centers and 3 minimally invasive approaches. A total of 203 patients underwent minimally invasive adrenalectomy; of these, 49% ( n = 99) were performed on an outpatient basis. Outpatient disposition was more frequent in the setting of lower estimated blood loss, case completion before 3 pm, and for surgery conducted in the setting of nodule/mass and primary hyperaldosteronism vs Cushing’s syndrome, pheochromocytoma, and metastasis. Adjusted analysis revealed no correlation of outpatient adrenalectomy with increased 30-day readmission rate or 30-day complication rate. These findings support the safety of performing outpatient adrenalectomy without increased risk of 30-day complications or readmission in appropriately selected candidates.

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