Laparoscopic Adrenalectomy for Pheochromocytoma
To determine the safety and results of laparoscopic resection of benign pheochromocytomas. We retrospectively reviewed the medical charts of all patients who underwent laparoscopic adrenalectomy for benign pheochromocytomas at all 3 Mayo Clinic sites between January 1, 1992, and December 31, 2001. D...
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| Veröffentlicht in: | Mayo Clinic proceedings 2003-12, Vol.78 (12), p.1501-1504 |
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| creator | Jaroszewski, Dawn E. Tessier, Deron J. Schlinkert, Richard T. Grant, Clive S. Thompson, Geoffrey B. van Heerden, Jon A. Farley, David R. Smith, Stephen L. Hinder, Ronald A. |
| description | To determine the safety and results of laparoscopic resection of benign pheochromocytomas.
We retrospectively reviewed the medical charts of all patients who underwent laparoscopic adrenalectomy for benign pheochromocytomas at all 3 Mayo Clinic sites between January 1, 1992, and December 31, 2001. Demographics, comorbidities, clinical presentation, imaging studies, biochemical findings, operative intervention, and outcome were examined. Long-term follow-up was obtained via chart review and/or by direct telephone contact with the patient or a relative.
Twenty-four women and 23 men with a mean age of 53.1 years (range, 16-81 years) underwent attempted laparoscopic resection of pheochromocytomas. In 5 patients, the procedure was converted to open laparotomy because of bleeding (2), inadequate exposure (2), and adhesions (1). The mean tumor size was 4.3 cm. The mean operative time (181.8 vs 140.5 minutes;
P=.03), mean hospital stay (6.00 vs 2.64 days;
P |
| doi_str_mv | 10.4065/78.12.1501 |
| format | Article |
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We retrospectively reviewed the medical charts of all patients who underwent laparoscopic adrenalectomy for benign pheochromocytomas at all 3 Mayo Clinic sites between January 1, 1992, and December 31, 2001. Demographics, comorbidities, clinical presentation, imaging studies, biochemical findings, operative intervention, and outcome were examined. Long-term follow-up was obtained via chart review and/or by direct telephone contact with the patient or a relative.
Twenty-four women and 23 men with a mean age of 53.1 years (range, 16-81 years) underwent attempted laparoscopic resection of pheochromocytomas. In 5 patients, the procedure was converted to open laparotomy because of bleeding (2), inadequate exposure (2), and adhesions (1). The mean tumor size was 4.3 cm. The mean operative time (181.8 vs 140.5 minutes;
P=.03), mean hospital stay (6.00 vs 2.64 days;
P<.001), and mean blood loss (340 mL vs 80 mL;
P<.001) were greater in patients who underwent open laparotomy vs those who underwent laparoscopic resection. All specimens were classified as benign. The mean follow-up was 41 months (range, 10-89 months). No patients experienced a recurrence or developed metastatic disease.
In light of surgical and anesthesia expertise, laparoscopic resection of benign pheochromocytomas is safe and effective with resultant short hospital stays. A low threshold to convert to an open procedure reduces operative times and decreases potentially serious complications. Although there have been no recurrences to date, long-term follow-up is required for all patients, especially those with hereditary forms of pheochromocytomas.</description><identifier>ISSN: 0025-6196</identifier><identifier>EISSN: 1942-5546</identifier><identifier>DOI: 10.4065/78.12.1501</identifier><identifier>PMID: 14661679</identifier><identifier>CODEN: MACPAJ</identifier><language>eng</language><publisher>Rochester, MN: Elsevier Inc</publisher><subject>Adolescent ; Adrenal Gland Neoplasms - pathology ; Adrenal Gland Neoplasms - surgery ; Adrenalectomy - methods ; Adrenals. Adrenal axis. Renin-angiotensin system (diseases) ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood Loss, Surgical ; Endocrinopathies ; Female ; General aspects ; Humans ; Ileus - etiology ; Laparoscopy - adverse effects ; Length of Stay - statistics & numerical data ; Male ; Medical sciences ; Middle Aged ; Non tumoral diseases. Target tissue resistance. Benign neoplasms ; Pheochromocytoma - pathology ; Pheochromocytoma - surgery ; Pulmonary Edema - etiology ; Retrospective Studies ; Tissue Adhesions - complications ; Treatment Outcome</subject><ispartof>Mayo Clinic proceedings, 2003-12, Vol.78 (12), p.1501-1504</ispartof><rights>2003 Mayo Foundation for Medical Education and Research</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Mayo Foundation for Medical Education and Research Dec 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-dc630384135cc9483027a9e20e9b741f972275b145055aefd07646c78f1c002b3</citedby><cites>FETCH-LOGICAL-c385t-dc630384135cc9483027a9e20e9b741f972275b145055aefd07646c78f1c002b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/216879833?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,64362,64364,64366,72216</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15327703$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14661679$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaroszewski, Dawn E.</creatorcontrib><creatorcontrib>Tessier, Deron J.</creatorcontrib><creatorcontrib>Schlinkert, Richard T.</creatorcontrib><creatorcontrib>Grant, Clive S.</creatorcontrib><creatorcontrib>Thompson, Geoffrey B.</creatorcontrib><creatorcontrib>van Heerden, Jon A.</creatorcontrib><creatorcontrib>Farley, David R.</creatorcontrib><creatorcontrib>Smith, Stephen L.</creatorcontrib><creatorcontrib>Hinder, Ronald A.</creatorcontrib><title>Laparoscopic Adrenalectomy for Pheochromocytoma</title><title>Mayo Clinic proceedings</title><addtitle>Mayo Clin Proc</addtitle><description>To determine the safety and results of laparoscopic resection of benign pheochromocytomas.
We retrospectively reviewed the medical charts of all patients who underwent laparoscopic adrenalectomy for benign pheochromocytomas at all 3 Mayo Clinic sites between January 1, 1992, and December 31, 2001. Demographics, comorbidities, clinical presentation, imaging studies, biochemical findings, operative intervention, and outcome were examined. Long-term follow-up was obtained via chart review and/or by direct telephone contact with the patient or a relative.
Twenty-four women and 23 men with a mean age of 53.1 years (range, 16-81 years) underwent attempted laparoscopic resection of pheochromocytomas. In 5 patients, the procedure was converted to open laparotomy because of bleeding (2), inadequate exposure (2), and adhesions (1). The mean tumor size was 4.3 cm. The mean operative time (181.8 vs 140.5 minutes;
P=.03), mean hospital stay (6.00 vs 2.64 days;
P<.001), and mean blood loss (340 mL vs 80 mL;
P<.001) were greater in patients who underwent open laparotomy vs those who underwent laparoscopic resection. All specimens were classified as benign. The mean follow-up was 41 months (range, 10-89 months). No patients experienced a recurrence or developed metastatic disease.
In light of surgical and anesthesia expertise, laparoscopic resection of benign pheochromocytomas is safe and effective with resultant short hospital stays. A low threshold to convert to an open procedure reduces operative times and decreases potentially serious complications. Although there have been no recurrences to date, long-term follow-up is required for all patients, especially those with hereditary forms of pheochromocytomas.</description><subject>Adolescent</subject><subject>Adrenal Gland Neoplasms - pathology</subject><subject>Adrenal Gland Neoplasms - surgery</subject><subject>Adrenalectomy - methods</subject><subject>Adrenals. Adrenal axis. Renin-angiotensin system (diseases)</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Endocrinopathies</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Ileus - etiology</subject><subject>Laparoscopy - adverse effects</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases. Target tissue resistance. Benign neoplasms</subject><subject>Pheochromocytoma - pathology</subject><subject>Pheochromocytoma - surgery</subject><subject>Pulmonary Edema - etiology</subject><subject>Retrospective Studies</subject><subject>Tissue Adhesions - complications</subject><subject>Treatment Outcome</subject><issn>0025-6196</issn><issn>1942-5546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpt0FtLwzAUB_AgipvTFz-ADEEfhG65p3kcwxsM9EGfQ3qaso62mckq7NubsYIgPh04_DiXP0LXBM84lmKu8hmhMyIwOUFjojnNhODyFI0xpiKTRMsRuohxgzFWWvNzNCJcSiKVHqP5ym5t8BH8tobpogyus42DnW_308qH6fvaeVgH33rYp6a9RGeVbaK7GuoEfT49fixfstXb8-tyscqA5WKXlSAZZjknTABonjNMldWOYqcLxUmlFaVKFIQLLIR1VYmV5BJUXhFIVxdsgu6Pc7fBf_Uu7kxbR3BNYzvn-2gU4UwLrBO8_QM3vg_piWgokbnSOWMJPRwRpFdjcJXZhrq1YW8INocMjcoNoeaQYcI3w8S-aF35S4fQErgbgI1gmyrYDur46wSjSuHDVn50LgX1XbtgItSuA1fWIUVsSl__t_8H6syHMw</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Jaroszewski, Dawn E.</creator><creator>Tessier, Deron J.</creator><creator>Schlinkert, Richard T.</creator><creator>Grant, Clive S.</creator><creator>Thompson, Geoffrey B.</creator><creator>van Heerden, Jon A.</creator><creator>Farley, David R.</creator><creator>Smith, Stephen L.</creator><creator>Hinder, Ronald A.</creator><general>Elsevier Inc</general><general>Mayo Medical Ventures</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Laparoscopic Adrenalectomy for Pheochromocytoma</title><author>Jaroszewski, Dawn E. ; Tessier, Deron J. ; Schlinkert, Richard T. ; Grant, Clive S. ; Thompson, Geoffrey B. ; van Heerden, Jon A. ; Farley, David R. ; Smith, Stephen L. ; Hinder, Ronald A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-dc630384135cc9483027a9e20e9b741f972275b145055aefd07646c78f1c002b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adrenal Gland Neoplasms - pathology</topic><topic>Adrenal Gland Neoplasms - surgery</topic><topic>Adrenalectomy - methods</topic><topic>Adrenals. Adrenal axis. Renin-angiotensin system (diseases)</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Ileus - etiology</topic><topic>Laparoscopy - adverse effects</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases. Target tissue resistance. Benign neoplasms</topic><topic>Pheochromocytoma - pathology</topic><topic>Pheochromocytoma - surgery</topic><topic>Pulmonary Edema - etiology</topic><topic>Retrospective Studies</topic><topic>Tissue Adhesions - complications</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jaroszewski, Dawn E.</creatorcontrib><creatorcontrib>Tessier, Deron J.</creatorcontrib><creatorcontrib>Schlinkert, Richard T.</creatorcontrib><creatorcontrib>Grant, Clive S.</creatorcontrib><creatorcontrib>Thompson, Geoffrey B.</creatorcontrib><creatorcontrib>van Heerden, Jon A.</creatorcontrib><creatorcontrib>Farley, David R.</creatorcontrib><creatorcontrib>Smith, Stephen L.</creatorcontrib><creatorcontrib>Hinder, Ronald A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Mayo Clinic proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jaroszewski, Dawn E.</au><au>Tessier, Deron J.</au><au>Schlinkert, Richard T.</au><au>Grant, Clive S.</au><au>Thompson, Geoffrey B.</au><au>van Heerden, Jon A.</au><au>Farley, David R.</au><au>Smith, Stephen L.</au><au>Hinder, Ronald A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Adrenalectomy for Pheochromocytoma</atitle><jtitle>Mayo Clinic proceedings</jtitle><addtitle>Mayo Clin Proc</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>78</volume><issue>12</issue><spage>1501</spage><epage>1504</epage><pages>1501-1504</pages><issn>0025-6196</issn><eissn>1942-5546</eissn><coden>MACPAJ</coden><abstract>To determine the safety and results of laparoscopic resection of benign pheochromocytomas.
We retrospectively reviewed the medical charts of all patients who underwent laparoscopic adrenalectomy for benign pheochromocytomas at all 3 Mayo Clinic sites between January 1, 1992, and December 31, 2001. Demographics, comorbidities, clinical presentation, imaging studies, biochemical findings, operative intervention, and outcome were examined. Long-term follow-up was obtained via chart review and/or by direct telephone contact with the patient or a relative.
Twenty-four women and 23 men with a mean age of 53.1 years (range, 16-81 years) underwent attempted laparoscopic resection of pheochromocytomas. In 5 patients, the procedure was converted to open laparotomy because of bleeding (2), inadequate exposure (2), and adhesions (1). The mean tumor size was 4.3 cm. The mean operative time (181.8 vs 140.5 minutes;
P=.03), mean hospital stay (6.00 vs 2.64 days;
P<.001), and mean blood loss (340 mL vs 80 mL;
P<.001) were greater in patients who underwent open laparotomy vs those who underwent laparoscopic resection. All specimens were classified as benign. The mean follow-up was 41 months (range, 10-89 months). No patients experienced a recurrence or developed metastatic disease.
In light of surgical and anesthesia expertise, laparoscopic resection of benign pheochromocytomas is safe and effective with resultant short hospital stays. A low threshold to convert to an open procedure reduces operative times and decreases potentially serious complications. Although there have been no recurrences to date, long-term follow-up is required for all patients, especially those with hereditary forms of pheochromocytomas.</abstract><cop>Rochester, MN</cop><pub>Elsevier Inc</pub><pmid>14661679</pmid><doi>10.4065/78.12.1501</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adrenal Gland Neoplasms - pathology Adrenal Gland Neoplasms - surgery Adrenalectomy - methods Adrenals. Adrenal axis. Renin-angiotensin system (diseases) Adult Aged Aged, 80 and over Biological and medical sciences Blood Loss, Surgical Endocrinopathies Female General aspects Humans Ileus - etiology Laparoscopy - adverse effects Length of Stay - statistics & numerical data Male Medical sciences Middle Aged Non tumoral diseases. Target tissue resistance. Benign neoplasms Pheochromocytoma - pathology Pheochromocytoma - surgery Pulmonary Edema - etiology Retrospective Studies Tissue Adhesions - complications Treatment Outcome |
| title | Laparoscopic Adrenalectomy for Pheochromocytoma |
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