Applicability of laparoscopic approach to the resection of large adrenal tumours: a retrospective cohort study on 200 patients

Feo, Carlo V.; Portinari, Mattia; Maestroni, Umberto; Río, Paolo Del; Severi, Silvia; Viani, Lorenzo; Pravisani, Riccardo; Soliani, Giorgio; Zatelli, Maria Chiara; Ambrosio, Maria Rosaria; Tong, Jenny; Terrosu, Giovanni; Bresàdola, Vittorio

doi:10.1007/s00464-015-4643-6

Cited by 25 publications

(23 citation statements)

References 29 publications

(49 reference statements)

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“…Laparoscopic adrenalectomy of an adrenal tumor is the current routine care for pheochromocytomas; yet, its feasibility for large‐size tumors remains controversial according to the literature. First, definitions of “large tumor” have been inconsistent among the various studies, cited as a diameter of >6 cm (generally defined as a “large tumor”) and a diameter of >8 cm (defined sometimes as a “larger” adrenal tumor) . In this study, we used the preoperative radiographic reports to definitively group the 253 cases under investigation as having a diameter of <6 cm (G sm ), 6 to 8 cm (G md ), and ≥8 cm (G lg ).…”

Section: Discussionmentioning

confidence: 99%

Perioperative management during laparoscopic resection of large pheochromocytomas: A single‐institution retrospective study

Liu

et al. 2018

Journal of Surgical Oncology

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Section: Discussionmentioning

confidence: 99%

Perioperative management during laparoscopic resection of large pheochromocytomas: A single‐institution retrospective study

Liu

et al. 2018

Journal of Surgical Oncology

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“…In a recent cohort of Feo et al (n = 200) the size of the tumor did not affect the clinical outcome. Likewise, duration of operation, rate of conversion, hospital LOS and complication rates were not affected by tumor size [34].…”

Section: Discussionmentioning

confidence: 79%

Transperitoneal laparoscopic surgery in large adrenal masses.

Şahbaz

Dural

Akarsu

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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Introduction: The laparoscopic adrenalectomy (LA) has become the gold standard since the transperitoneal laparoscopic approach was first reported. Aim: To evaluate the applicability, safety and short-term results of laparoscopic surgery in adrenal masses over 6 cm. Material and methods: Demographic data, hormonal activities, imaging modalities, operative findings, operation time, conversion rates, complications, duration of hospital stay and histopathologic results of 128 patients who underwent laparoscopic adrenalectomy were evaluated retrospectively. Patients included in the learning curve (n = 23), robotic surgery cases (n = 15) and patients with suspected metastasis (n = 4) were excluded from the study. Six cm mass size was taken as a reference and two groups were formed (group 1: < 6 cm, group 2: ≥ 6 cm). The results of the two groups were compared. Results: There were 64 cases in group 1 and 22 cases in group 2. Functional mass ratio and mass sides were similar between the groups (p = 0.30 and p = 0.17, respectively). The mean mass size in group 1 was 36.4 ±11.2 mm and in group 2 82.4 ±15.5 mm. The conversion rate was similar between the two groups (p = 0.18). The duration of surgery was 135.5 ±8.29 min in group 1, 177.0 ±14.9 min in group 2 (p = 0.014). Morbidity and lengths of hospital stay were similar (p = 0.76, p = 0.34 respectively). Adrenocortical carcinoma was detected in three cases in group 1, which were completed laparoscopically, and in two cases in group 2, which were converted to open surgery (p = 0.46). Conclusions: Although open surgery is still recommended in the guidelines, studies are now being carried out to ensure that laparoscopy can be safely performed on masses over 6 cm. There was no difference between short-term follow-up and histopathologic results in our study.

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“…There has been a trend towards favoring laparoscopic resection of pheochromocytoma and adrenal tumors in general [5,6]. One contraindication would be need for open surgical exploration for another reason.…”

Section: Resultsmentioning

confidence: 99%

“…However, even biochemically inert tumors can develop hypertensive crisis [4]. When resection is indicated, current reports support laparoscopic approaches when possible, including "large" (>5 cm) tumors [5,6]. We present a case of a patient who presented with both AAA and biochemically active pheochromocytoma.…”

Section: Introductionmentioning

confidence: 92%

Abdominal Aortic Aneurysm and Pheochromocytoma

Reese¹,

Feliciano²,

Karmy‐Jones³

et al. 2019

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Simultaneous presentation of pheochromocytoma and abdominal aortic aneurysm (AAA) is uncommon and poses unique challenges. Based on the rare case reports, there may be an association with AAA development and rupture. The approach to these separate lesions requires medical management to prevent hypertensive crisis and cardiovascular collapse, decision whether to approach the pheochromocytoma laparoscopically or by open approaches, the decision to approach the AAA by open or endovascular repair (EVAR) and the sequence and timing of repair. We present a case of a female who had a biochemically active but clinical benign pheochromocytoma in conjunction with an AAA that was repaired simultaneously by an open approach

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Applicability of laparoscopic approach to the resection of large adrenal tumours: a retrospective cohort study on 200 patients

Cited by 25 publications

References 29 publications

Perioperative management during laparoscopic resection of large pheochromocytomas: A single‐institution retrospective study

Perioperative management during laparoscopic resection of large pheochromocytomas: A single‐institution retrospective study

Transperitoneal laparoscopic surgery in large adrenal masses.

Abdominal Aortic Aneurysm and Pheochromocytoma

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