keyword
https://read.qxmd.com/read/38316662/comparative-outcomes-and-prognostic-indicators-in-adrenalectomy-for-adrenal-metastasis
#21
JOURNAL ARTICLE
JungHak Kwak, Hye Lim Bae, Younghoon Jung, Jaebong Choi, Hyeonuk Hwang, Jung Hee Kim, Su-Jin Kim, Kyu Eun Lee
PURPOSE: The indications for adrenalectomy and feasibility of laparoscopic adrenalectomy for adrenal metastasis are controversial. This study aimed to compare the surgical outcomes between open adrenalectomy (OA) and laparoscopic adrenalectomy (LA) and to evaluate the prognostic factors for oncological outcomes of adrenal metastasis. MATERIALS AND METHODS: We conducted a retrospective chart review of 141 consecutive patients who underwent adrenalectomy for adrenal metastasis at Seoul National University Hospital from April 2005 to February 2021...
February 5, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38301125/impact-of-body-mass-index-%C3%A2-35%C3%A2-kg-m-2-on-minimally-invasive-adrenalectomy
#22
JOURNAL ARTICLE
Daniel K Knewitz, Rocio Castillo-Larios, Lorna A Evans, Jorge Cornejo, Shalyn M Fullerton, Sarika N Rao, Ryan N Chadha, Enrique F Elli
Introduction: Obesity is associated with numerous chronic conditions and an increased risk for surgical complications. Laparoscopic and robotic adrenalectomy have proven effective in the resection of adrenal tumors. This study analyzes the outcomes of severely obese patients (body-mass index [BMI] ≥35 kg/m2 ) following minimally invasive adrenalectomy. Materials and Methods: A retrospective analysis of patients who underwent minimally invasive adrenalectomy at our institution between 2010 and 2023 was conducted...
February 1, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38291303/laparoscopic-portal-vein-ligation-and-embolization-during-first-stage-hepatectomy-for-initially-unresectable-colorectal-liver-metastases
#23
JOURNAL ARTICLE
Yoshihiro Ono, Yosuke Inoue, Kosuke Kobayashi, Shoki Sato, Yuki Kitano, Atsushi Oba, Takafumi Sato, Hiromichi Ito, Yu Takahashi
BACKGROUND: Two-stage hepatectomy (TSH) is the only treatment for the patients with multiple bilobar colorectal liver metastases (CRMs) who are not candidates for one-step hepatectomy because of insufficient future remnant liver volume and/or impaired liver function.1-5 Although laparoscopic approaches have been introduced for TSH,6-8 the postoperative morbidity and mortality remains high because of the technical difficulties during second-stage hepatectomy.9,10 The authors present a video of laparoscopic TSH with portal vein (PV) ligation and embolization, which minimizes adhesions and PV thrombosis risk in the remnant liver, thereby facilitating second-stage hepatectomy...
January 30, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38285478/assessment-of-the-quality-of-youtube-educational-videos-on-laparoscopic-right-adrenalectomy-and-laparoscopic-partial-nephrectomy-surgeries
#24
JOURNAL ARTICLE
Seyed Alireza Hashemi, Behnam Shakiba, Alireza Golshan, Saeed Esmaeil Soofian, Robab Maghsoudi
Introduction: Despite the considerable studies conducted on the quality of YouTube surgical videos as an educational resource in other surgical fields, there have been no such studies in the field of laparoscopic urology so far. Considering the great sensitivity in these procedures and the necessity of identifying the mistakes in these videos, we aimed to evaluate the quality of YouTube educational videos on laparoscopic right adrenalectomy and laparoscopic partial nephrectomy surgeries. Materials and Methods: In this descriptive cross-sectional study, 131 YouTube educational videos on laparoscopic right adrenalectomy and laparoscopic partial nephrectomy surgeries were reviewed...
January 29, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38277956/time-to-flip-the-approach-retroperitoneoscopic-adrenalectomy
#25
JOURNAL ARTICLE
Stellina Y H Lee, Clement Wong
INTRODUCTION: Retroperitoneoscopic adrenalectomy (RPA) has gained increasing popularity with its excellent perioperative outcomes and direct surgical access compared to other adrenalectomy approaches. We review perioperative outcomes of RPA by a specialized endocrine surgeon before and after expert intensive trainings (EITs), and to that of other laparoscopic adrenalectomy approaches at our center over a 9-year period, aiming to ascertain if RPA is worth the steep learning curve. MATERIAL AND METHODS: One hundred twenty one adrenalectomies were performed between January 2014 to June 2022...
January 25, 2024: Journal of Surgical Research
https://read.qxmd.com/read/38235412/misdiagnosed-gastric-diverticulum-as-a-left-adrenal-lesion-on-imaging
#26
Jing-Yan Zhang, Chenchen Qian, Chun-Wu Pan
KEY CLINICAL MESSAGE: Gastric diverticulum in the posterior wall of the stomach is very rare, and it is easy to be misdiagnosed as a left adrenal mass on imaging. Therefore, we must consider the possibility of gastric diverticulum when diagnosing a left adrenal mass. ABSTRACT: This paper reports a case of gastric diverticulum that was misdiagnosed as a left adrenal mass on abdominal enhanced CT. The patient underwent laparoscopic adrenalectomy, but there was no mass in the left adrenal found during surgery...
January 2024: Clinical Case Reports
https://read.qxmd.com/read/38231274/patient-satisfaction-analysis-of-robot-assisted-minimally-invasive-adrenalectomy-a-single-center-retrospective-study
#27
JOURNAL ARTICLE
Yao Xue, Luo Xiaoyan, Tai Yanghao, Wang Kang, Shang Jiwen
The objective of this study is to compare the satisfaction of patients undergoing robot-assisted retroperitoneal laparoscopy adrenalectomy under the ambulatory mode and conventional mode. Basic information and clinical data of patients who underwent robotic-assisted posterior laparoscopic adrenalectomy between June 2020 and June 2023 were queried from our case system. The Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems Survey (OAS CAHPS®) was used to investigate patient satisfaction with preoperative preparation, discharge counseling, postoperative instructions, postoperative pain, and satisfaction with nursing work...
January 17, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38228705/evaluation-of-predictive-factors-for-i-claras-intraoperative-complications-in-laparoscopic-renal-and-adrenal-surgery-a-multicentre-international-retrospective-cohort-study
#28
JOURNAL ARTICLE
Angelo Territo, Giuseppe Di Buono, Salvatore Buscemi, Guglielmo Mantica, Vincenzo Falco, Vital Hevia Palacios, Paolo Verri, Rodrigo Antelo Antelo, Jesus Emmanuel Rosas-Nava, Nicolae Crisan, Iulia Andras, Fabio Medas, Giuseppe Amato, Giorgio Romano, Alberto Breda, Antonino Agrusa
The laparoscopic approach represents the standard of treatment for renal and adrenal diseases, and its use is increasing even outside referral centres. Although most procedures are routinely performed, intraoperative complications do not occur, and the rate and predictive factors of these complications have not been established. The aim of this study was to evaluate the incidence and type of intraoperative complications and to identify predictive factors in patients undergoing laparoscopic renal and adrenal surgery...
January 16, 2024: Scientific Reports
https://read.qxmd.com/read/38206493/effectiveness-of-continuity-of-care-after-robot-assisted-laparoscopic-adrenalectomy-under-ambulatory-mode-a-single-center-intervention-study
#29
JOURNAL ARTICLE
Xue Yao, Xiaoyan Luo, Yanghao Tai, Kang Wang, Jiwen Shang
To investigate the effectiveness of continuity of care after robot-assisted adrenal tumor resection under ambulatory mode. Patients who underwent robot-assisted laparoscopic adrenalectomy (RALA) in the ambulatory surgery department and urology department of our hospital from January 2022 to January 2023 were selected as study subjects. Among them, 50 patients in the Department of Urology as the control group were given routine care. The 50 patients in the ambulatory surgery department as the observation group were given continuity of care on the basis of routine care...
January 11, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38192879/gynecomastia-in-a-man-with-adrenal-mass
#30
Jasmine Saini, Patrick Navin, Michael Rivera, Irina Bancos
Estrogen-secreting adrenocortical carcinoma (ACC) is exceedingly rare, representing 1% to 2% of all ACCs. We present a case of a 65-year-old man diagnosed with an estrogen-secreting, 4.3-cm right adrenal mass discovered during work-up for bilateral gynecomastia. Gynecomastia and hyperestrogenism resolved after laparoscopic adrenalectomy, and pathology was reported as adrenocortical adenoma. However, 5 years later, he again developed bilateral gynecomastia because of recurrent hyperestrogenism. Imaging revealed multiple metastases in the abdomen...
January 2024: JCEM Case Rep
https://read.qxmd.com/read/38186755/resection-of-a-pure-androgen-secreting-adrenal-adenoma-in-a-postmenopausal-woman-a-case-report
#31
Ahmad Dalal, Abdallah Dwayat, Natalie Khamashta, Mo'men Alashwas, Tariq Asi
Pure androgen secreting adrenal tumors are exceedingly rare, presenting in higher numbers in women compared with men, and are particularly rare in women of postmenopausal age. Postmenopausal hyperandrogenism is usually ovarian or adrenal in origin, with tumors representing an uncommon cause, which are more frequently ovarian but could also be adrenal. Herein we present a case of a 61-year-old postmenopausal woman, who had suffered multiple reproductive disturbances, presenting with a 10-year history of virilizing symptoms, most bothersome of which was generalized hirsutism, alongside clitoromegaly, irritability, and voice deepening...
January 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38106691/retroperitoneoscopic-enucleation-adrenalectomy-a-viable-surgical-option-for-small-nonsecreting-adrenal-tumors-with-low-potential-of-malignancy
#32
JOURNAL ARTICLE
Hao Yan, Gan Cao, Xin Cui, Jiang-Tao Wu, Tong-Wen Ou, Qi Wang, Bo Cui, Wei Gao, Chun-Song Jia, Jian-Jun Xu
Laparoscopic total adrenalectomy has become the standard treatment for adrenal mass. Meanwhile, there has been a growing trend toward laparoscopic adrenal-sparing surgery worldwide to avoid the risk and potential complications of adrenal insufficiency. The objectives of this study were to describe a retroperitoneoscopic adrenal tumor enucleation technique, to assess the clinical outcomes of this technique in the treatment of 20-40 mm nonsecreting adrenal tumor (NAT) with low potential of malignancy, and to provide a feasible choice for patients who have preference on resection...
November 30, 2023: Translational Andrology and Urology
https://read.qxmd.com/read/38098906/primary-adrenal-angiosarcoma-and-its-management-a-case-report
#33
Omar M Alsarraj, Awadh Alqahtani, Mohammed Alswayyed, Mohammad Almayouf, Srikar Billa
Primary adrenal angiosarcoma is a very rare malignancy. This is a case report of a 54-year-old female, who presented with right-sided abdominal pain. Magnetic resonance imaging of the abdomen and pelvis showed a right adrenal mass with a maximum dimension of 5.7 cm. The patient went for a laparoscopic right adrenalectomy. The postoperative period was uneventful, and she was discharged on postoperative day 2. The patient was free from complaints at outpatient follow-up visits. Pathology confirmed the diagnosis of adrenal angiosarcoma and the metastasis workup was negative...
November 2023: Curēus
https://read.qxmd.com/read/38092972/transabdominal-and-retroperitoneal-adrenalectomy-comparative-study
#34
JOURNAL ARTICLE
Volodymyr V Grubnik, Roman S Parfentiev, Viktor V Grubnyk, Yurii V Grubnik, Vladyslav V Sliepov
BACKGROUND: Laparoscopic adrenalectomy is recognized as the "gold standard" approach for benign adrenal tumors. The majority of surgeons opt for laparoscopic transabdominal adrenalectomies (LTA), while retroperitoneoscopic adrenalectomies (RPA) in the prone position have certain advantages for patients. The aim of this study was to compare the effectiveness and safety of the transabdominal and retroperitoneoscopic laparoscopic adrenalectomies. MATERIALS AND METHODS: Between 2000 and 2021, our clinic performed 472 laparoscopic adrenalectomies...
December 13, 2023: Surgical Endoscopy
https://read.qxmd.com/read/38089626/robotic-posterior-retroperitoneal-adrenalectomy-versus-laparoscopic-posterior-retroperitoneal-adrenalectomy-outcomes-from-a-pooled-analysis
#35
Yu-Gen Li, Xiao-Bin Chen, Chun-Mei Wang, Xiao-Dong Yu, Xian-Zhong Deng, Bo Liao
BACKGROUND: The comparative advantages of robotic posterior retroperitoneal adrenalectomy (RPRA) over laparoscopic posterior retroperitoneal adrenalectomy (LPRA) remain a topic of ongoing debate within the medical community. This systematic literature review and meta-analysis aim to assess the safety and efficacy of RPRA compared to LPRA, with the ultimate goal of determining which procedure yields superior clinical outcomes. METHODS: A systematic search was conducted on databases including PubMed, Embase, Web of Science, and the Cochrane Library database to identify relevant studies, encompassing both randomized controlled trials (RCTs) and non-RCTs, that compare the outcomes of RPRA and LPRA...
2023: Frontiers in Endocrinology
https://read.qxmd.com/read/38088428/reversal-of-arterial-stiffness-in-medically-and-surgically-treated-unilateral-primary-aldosteronism
#36
JOURNAL ARTICLE
Zheng-Wei Chen, Che-Wei Liao, Chien-Ting Pan, Cheng-Hsuan Tsai, Yi-Yao Chang, Chin-Chen Chang, Bo-Ching Lee, Yu-Wei Chiu, Wei-Chieh Huang, Tai-Shuan Lai, Ching-Chu Lu, Jeff S Chueh, Vin-Cent Wu, Chi-Sheng Hung, Yen-Hung Lin
OBJECTIVE: Hyperaldosteronism has adverse effects on cardiovascular structure and function. Laparoscopic adrenalectomy is the gold standard for patients with unilateral primary aldosteronism. For unilateral primary aldosteronism patients unable or unwilling to undergo surgery, the effects of mineralocorticoid receptor antagonists (MRAs) on the reversibility of arterial stiffness and other clinical data remain unclear. We aimed to compare the reversibility of arterial stiffness using pulse wave velocity (PWV) and other clinical parameters between surgically and medically treated unilateral primary aldosteronism patients...
December 8, 2023: Journal of Hypertension
https://read.qxmd.com/read/38077309/bilateral-cortical-sparing-adrenalectomy-for-the-treatment-of-bilateral-aldosterone-producing-adenomas
#37
Kazutaka Nanba, Hiroki Kaneko, Mutsuki Mishina, Tetsuya Tagami
Aldosterone-producing adenoma (APA) is 1 of the major subtypes of primary aldosteronism (PA). Although most APA occurs unilaterally, bilateral APAs have rarely been documented. Because of its rarity, optimal management of patients with bilateral APAs has not been established. Here, we report a case of bilateral APAs that was successfully treated with simultaneous bilateral cortical-sparing surgery. A 44-year-old Japanese woman was referred to us for the evaluation of PA. She had typical clinical characteristics of PA, including hypertension, hypokalemia, and high plasma aldosterone concentration with suppressed renin...
November 2023: JCEM Case Rep
https://read.qxmd.com/read/38074796/incidental-detection-of-pheochromocytoma-during-workup-for-symptomatic-aortic-stenosis-a-case-report-and-management-discussion
#38
Grant Dorman, Benjamin Rosenfeld, Chittoor B Sai Sudhakar, Heiko Schmitt, Rabi K Panigrahi, Beatriz R Tendler, Benjamin T Ristau
Pheochromocytoma patients with high levels of circulating catecholamines are at risk of cardiovascular complications related to hypertensive emergencies and subsequent organ damage. A patient with concomitant aortic stenosis and pheochromocytoma has compounded risk of cardiovascular complications, especially during surgery, which complicates medical decision-making. We report a patient with Turner syndrome and congenital heart defects (CHDs) who was incidentally discovered to have a pheochromocytoma during workup of symptomatic severe bioprosthetic aortic stenosis...
November 2023: Urology Case Reports
https://read.qxmd.com/read/38073711/a-peculiar-cause-of-shock-analysing-two-clinical-cases
#39
João Oliveira, Alberto Costa-Silva, Luís Vale, Daniel Costa, Rui Almeida-Pinto, Carlos Martins-Silva, Tiago Antunes-Lopes, João Silva
INTRODUCTION: Pheochromocytoma is a rare neoplasia arising from the adrenal medulla that secretes catecholamines. Those afflicted by this condition can present a wide range of symptoms. One of the most common is paroxysmic hypertension. Interestingly, although rare, some patients present with shock. We describe two cases of pheochromocytoma in which the initial presentation was shock. Case 1 . 49 year-old woman, with a history of resistant hypertension, presented to the emergency department with thoracic pain and fever...
2023: Case Reports in Urology
https://read.qxmd.com/read/38062741/can-the-mayo-adhesive-probability-score-predict-perioperative-outcomes-in-laparoscopic-total-and-partial-adrenalectomy
#40
JOURNAL ARTICLE
Altug Tuncel, Tanju Keten, Cagdas Senel, Zeynep Erhuner Tengirsenk, Ali Yasin Ozercan, Burak Koseoglu, Serdar Basboga, Can Aykanat, Muharrem Tola, Karabekir Ercan, Ozer Guzel
OBJECTIVE: This study aimed to determine whether the Mayo adhesive probability (MAP) score could predict perioperative outcomes in transperitoneal laparoscopic total adrenalectomy (LTA) and laparoscopic partial adrenalectomy (LPA). MATERIALS AND METHODS: The clinical data of 139 patients who underwent transperitoneal LTA (n=116) or LPA (n=23) between March 2013 and September 2022 were retrospectively analyzed. According to the images obtained from preoperative contrast-enhanced computed tomography or magnetic resonance imaging, the patients were divided into two groups: the low MAP score group (0-1 points) and the high MAP score group (2-5 points)...
December 7, 2023: Journal of Endourology
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