An Institutional Summary of Incidence and Risk of Second Primary Cancer (SPC) after Treatment for Papillary Thyroid Carcinoma (PTC)

Abstract

conversion group (all p<0.01). Furthermore, rate of postoperative complications, and hospital and ICU length-of-stay were significantly higher in the conversion-to-open group (p<0.01). Interestingly, there was no statistically significant difference in maximum adrenal tumor diameter, BMI, pheochromocytoma diagnosis, Cushing's syndrome, and prior abdominal surgery between groups (p>0.05). The risk of conversion to open was not different on multivariable analysis, including tumor size and BMI (p>0.05).CONCLUSION: Minimally invasive transperitoneal adrenalectomy can be safely completed in most cases. Conversion to open approach is rare and not related to patient-specific factors or pathology. Patients need to be counseled that while risk of conversion to open approach is quite low, we cannot predict which case will require conversion to open.