Early readmission after adrenalectomy for pheochromocytoma. A retrospective study.
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Habeeb Tamer A A M, Elias Abd Al-Kareem, Adam Abdelmonem A M, Gadallah Mohamed A, Ahmed Saad Mohamed Ali, Khyrallh Ahmed, Alsayed Mohammed H, Awad Esmail Tharwat Kamel, Ibrahim Emad A, Labib Mohamed Fathy, Teama Sobhy Rezk Ahmed, Badawy Mahmoud Hassib Morsi, Alsaad Mohamed Ibrahim Abo, Ali Abouelatta Kh, Elbelkasi Hamdi, Zaid Mahmoud Ali Abou, Shamy Ibtsam AbdElMaksoud Mohamed El, El-Houseiny Boshra Ali Ali, Azawy Mahmoud El, Elhoofy Ahmed, Khedr Ali Hussein, Nawar Abdelrahman Mohamed Hasanin, Arafa Ahmed Salah, Abdelaziz Ahmed Mesbah, Abdelwanis Abdelfatah H, Khairy Mostafa M, Yehia Ahmed M, Taher Ahmed Kamal El
Аннотация
METHODS: A retrospective analysis of 346 patients > 18 years with unilateral PHEO who underwent adrenalectomy between September 2012 and September 2024. The patients were categorised into ER (n = 49) and no ER (n = 297) groups. Logistic regression analyses were performed to predict risk factors for ER.
RESULTS: The most common causes of ER were postoperative maintained hypotension (42.9%), bleeding (6.1%), ileus (24.5%), wound infection (4.1%), hyperkalemia (8.2%), pneumonia (2%), intra-abdominal abscess (2%), acute MI (4.1%), and colonic injury (6.1%). Most postoperative complications were Clavien-Dindo grade II (n = 40, 81.6%). Two perioperative deaths (4%) occurred in the ER group. Logistic regression showed that low body mass index (OR 0.849, 95% CI, 0.748-0.964; p = 0.012), tumor size < 5 cm (OR 0.096, 95% CI, 0.030-0.310; p < 0.001), and low ASA (OR 0.435, 95% CI, 0.249-0.761; p = 0.003) were associated with risk reduction for ER while malignancy (OR 5.302, 95% CI, 1.214-23.164; p = 0.027), open approach(OR 12.247, 95% CI, 5.227-28.694; p < 0.001), and intraoperative complications (OR 19.149, 95% CI, 7.091-51.710; p < 0.001) were associated with risk increase of ER.
CONCLUSION: Postoperatively maintained hypotension and ileus were the most common causes of ER. Low body mass index, tumour size < 5 cm, and low ASA were risk reductions for ER, while malignancy, open approach, and intraoperative complications were the independent risk increase factors.