Effectiveness and safety of laparoscopic adrenalectomy of large pheochromocytoma: a prospective, nonrandomized, controlled study - 18/06/15
Abstract |
Background |
Laparoscopic adrenalectomy (LA) is normally used to treat small-sized (<6 cm) pheochromocytoma (PCC). This study evaluated the effectiveness and safety of LA for treating large (≥6 cm) PCC.
Methods |
Fifty-one patients with resectable, large-sized (≥6 cm) PCC were prospectively enrolled for elective LA (n = 23) or open adrenalectomy (n = 28).
Results |
LA was converted into open adrenalectomy in 2 patients (2/23, 8.7%); LA was associated with relatively longer operative time (P = .033) but less intraoperative bleeding (P < .001), faster resumption of ambulatory status (P < .001), and shorter duration of postoperative hospitalization (P < .001). Frequency of PCC recurrence was similar between the 2 groups (P = 1.000).
Conclusions |
LA is a feasible, effective, and safe treatment modality for large-sized (≥6 cm) PCC. LA is associated with minimal invasiveness and faster postoperative recovery.
Le texte complet de cet article est disponible en PDF.Highlights |
• | LA had a longer operative time for treating large-sized pheochromocytoma. |
• | LA was superior in minimal invasiveness and faster postoperative recovery. |
• | LA had a risk of tumor recurrence similar to open procedure. |
Keywords : Pheochromocytoma, Adrenalectomy, Laparoscopy, Comparative study
Plan
| The authors declare no conflicts of interest. |
Vol 210 - N° 2
P. 230-235 - août 2015 Retour au numéro
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