Our Summary

This study looked at whether there were differences in the outcomes of a specific type of surgery (adrenalectomy) based on whether it was performed by a general surgeon or a urologist. The researchers examined data from over 3000 surgeries performed between 2011 and 2015. They found that 90% of the surgeries were done by general surgeons and 10% by urologists. However, they found no significant differences in the outcomes of the surgery such as complications, reoperations, readmissions within 30 days, deaths, or length of hospital stay, no matter who performed the operation. Therefore, the research suggests that urologists, who are already familiar with the area of the body involved in the operation, should continue to perform this type of surgery and perhaps do even more of them.

FAQs

  1. What was the purpose of the study on adrenalectomy surgeries?
  2. Was there a difference in outcomes of adrenalectomy surgery between those performed by general surgeons and urologists?
  3. What is the study’s suggestion for urologists performing adrenalectomy surgeries?

Doctor’s Tip

A doctor might tell a patient undergoing adrenalectomy to follow their post-operative care instructions closely, including taking prescribed medications, attending follow-up appointments, and avoiding strenuous activities until cleared by their healthcare provider. It is also important to report any unusual symptoms or complications, such as excessive pain, fever, or signs of infection, to their doctor immediately. Following these guidelines can help ensure a successful recovery from adrenalectomy.

Suitable For

Patients who are typically recommended adrenalectomy include those with benign or malignant tumors of the adrenal gland, adrenal hyperplasia, adrenal nodules, adrenal cancer, or adrenal metastases. Adrenalectomy may also be recommended for patients with adrenal hormone-producing tumors such as pheochromocytoma, aldosterone-producing adenomas, cortisol-producing adenomas, or androgen-producing tumors. Additionally, adrenalectomy may be recommended for patients with adrenal cysts or adrenal hemorrhage.

Timeline

Before adrenalectomy:

  • Patient undergoes imaging tests such as CT scan or MRI to diagnose the adrenal tumor
  • Patient may undergo hormone testing to determine if the tumor is functioning
  • Patient may need to stop certain medications prior to surgery
  • Patient meets with surgeon to discuss the procedure and potential risks

After adrenalectomy:

  • Patient is monitored closely in the hospital for any complications
  • Patient may experience pain and discomfort at the surgical site
  • Patient may need to take medication to manage hormone levels if one adrenal gland was removed
  • Patient will have follow-up appointments with their surgeon to monitor recovery and hormone levels
  • Patient may need to make lifestyle changes to manage any long-term effects of the surgery, such as hormone replacement therapy or dietary changes

What to Ask Your Doctor

  1. What are the potential risks and complications associated with adrenalectomy?
  2. How experienced are you in performing adrenalectomy procedures?
  3. What is the success rate of adrenalectomy in treating my condition?
  4. What is the recovery process like after adrenalectomy?
  5. Are there any alternative treatments to adrenalectomy that I should consider?
  6. Will I need to take any medications or make any lifestyle changes after the surgery?
  7. How long will I need to stay in the hospital after the procedure?
  8. Are there any specific follow-up appointments or tests that I will need after the surgery?
  9. What should I do if I experience any complications or side effects after the surgery?
  10. Can you provide me with information about your previous experience and outcomes with adrenalectomy procedures?

Reference

Authors: Fuletra JG, Schilling AL, Canter D, Hollenbeak CS, Raman JD. Journal: Int Urol Nephrol. 2020 Feb;52(2):197-204. doi: 10.1007/s11255-019-02306-y. Epub 2019 Oct 8. PMID: 31595382