Laparoscopic adrenalectomy using the lateral retroperitoneal approach: Is it a safe and feasible treatment option for pheochromocytomas larger than 6 cm?

International Journal of Urology : Official Journal of the Japanese Urological Association
Ho Seok ChungDong Deuk Kwon

Abstract

To evaluate the surgical feasibility of laparoscopic adrenalectomy using the lateral retroperitoneal approach for the treatment of large pheochromocytomas, and to identify the preoperative risk factors for intraoperative hypertension. We retrospectively reviewed 51 patients who underwent laparoscopic adrenalectomy using the lateral retroperitoneal approach for the treatment of pheochromocytomas. Patient characteristics and perioperative outcomes were analyzed and compared between the two study groups based on tumor size: group A (n = 27, ≤6 cm) and group B (n = 24, ˃6 cm). There was no significant difference in preoperative characteristics between the two groups except for tumor size (P = 0.001) and urinary metanephrine (P = 0.011). Group B patients required longer operating time (P = 0.008), had a greater estimated blood loss (P = 0.001) and hemoglobin change (P = 0.002). However, no significant differences were observed in perioperative complications and mortality. Multivariate analysis showed that symptomatic pheochromocytomas (P = 0.004) and tumor size (P = 0.007) were significant risk factors for intraoperative hypertension. Laparoscopic adrenalectomy using the lateral retroperitoneal approach for pheochromocytomas can be ...Continue Reading

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Citations

Nov 16, 2018·International Journal of Urology : Official Journal of the Japanese Urological Association·Koji ShiraishiHideyasu Matsuyama
Oct 2, 2019·BMJ Case Reports·Santosh KumarKiran Jhangra
Apr 21, 2018·International Journal of Urology : Official Journal of the Japanese Urological Association·Michał Pędziwiatr
Jul 28, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mehmet Cagatay CicekIsmet Yavascaoglu
Jul 28, 2020·BMC Surgery·Sheng-Qiang FuTing Sun
Mar 11, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Jing WangXiaoyong Zeng

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