Online Articles: Original ArticlesLaparoscopic Adrenalectomy in Elderly PatientsWeinandt, Marthe MD*; Gaujoux, Sébastien MD, PhD*,†,‡; Khayat, Antoine MD*; Bertherat, Jérôme MD, PhD†,§,∥; Baillard, Christophe MD‡,¶; Dousset, Bertrand MD*,†,‡ Author Information *Department of Digestive, Hepato-biliary and Endocrine Surgery, Referral Center for Rare Adrenal Diseases, Cochin Hospital, APHP †INSERM Unité 1016, CNRS UMR, Institut Cochin ‡Medical school Paris Descartes, Paris Descartes University, Sorbonne Paris Cité §Rare Adrenal Cancer Network-Corticomédullosurrénale Tumeur Endocrine, Institut National du Cancer Departments of ∥Endocrinology ¶Anesthesiology, Cochin Hospital, APHP, Paris, France The authors declare no conflicts of interest. Reprints: Sébastien Gaujoux, MD, PhD, Department of Digestive, Hepato-biliary and Endocrine Surgery, Cochin Hospital, APHP, Paris Descartes University, 27, rue du Faubourg Saint Jacques, Paris 75014, France (e-mail: [email protected]). Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: December 2017 - Volume 27 - Issue 6 - p e132-e135 doi: 10.1097/SLE.0000000000000465 Buy Metrics Abstract With increase life expectancy, surgical indications in elderly become more frequent. The aim of this study was to analyze indications and outcome of laparoscopic adrenalectomy in patients over 75. Between 1994 and 2014, 641 patients underwent laparoscopic adrenalectomy. Preoperatively, all patients had a standardized preoperative work-up. Patients over 75 were compared with a control group of younger patients. The median age was 52 years (41 to 61) and 3.6% of patients (n=23) were over 75. Patients over 75 were more frequently operated for malignant lesion (21.7% vs. 4.7%; P=0.005). There was no postoperative mortality. Conversion rate was 3.4% (n=22), with no significant difference between the groups. The overall morbidity and severe morbidity rates were, respectively, 16.9% and 3.3%, with no significant difference between the groups. In experienced team and for selected patients, laparoscopic adrenalectomy after 75 years is safe, without increased postoperative morbidity, as compared with younger population. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.