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adrenalectomy laparoscopic

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https://www.readbyqxmd.com/read/29137070/a-case-report-of-primary-adrenal-angiosarcoma-as-depicted-on-magnetic-resonance-imaging
#1
Xue-Ming Li, Hong Yang, Jing Reng, Peng Zhou, Zhu-Zhong Cheng, Zhen Li, Guo-Hui Xu
RATIONALE: Angiosarcoma is an extremely rare malignant tumor of endothelial origin. The majority of studies reporting angiosarcoma have been concerned with the clinical and pathological aspects, with limited reporting of their imaging findings. To our knowledge, angiosarcoma of the adrenal gland is very rare. Herein we firstly report a primary adrenal angiosarcoma depicted on magnetic resonance imaging (MRI). PATIENT CONCERNS: A 59-year-old man was referred to our hospital for 1 year left-flank pain that exacerbated in recent 4 months...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29135271/-removal-of-giant-adrenal-tumors-using-the-laparoscopic-transperitoneal-technique-a-report-of-three-successful-cases
#2
Aurél Ottlakán, Attila Paszt, Bernadett Borda, Zsolt Simonka, Szabolcs Ábrahám, György Lázár
With the development of laparoscopic adrenalectomy, indications for resection gradually span from small and benign to bigger and even malignant lesions. We studied the results of laparoscopic adrenalectomy for giant (>10 cm) adrenal tumors in three cases. Three patients (2 female, 1 male, mean age 49.33 years, BMI 31) underwent laparoscopic transperitoneal adrenalectomy due to giant (>10 cm) adrenal lesions with a limited size Pfannenstiel incision. Mean operative time was 126.66 minutes, with a mean intraoperative blood loss of 150 ml...
November 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/29135139/-laparoscopic-transperitoneal-adrenalectomy
#3
B G Guliev, B K Komyakov, D V Semenov
AIM: To analyze the results of laparoscopic adrenalectomy (LAE) in patients with adrenal gland tumors. MATERIALS AND METHODS: From 2011 to 2016, 24 patients (15 men, 9 women), mean age 49.6 +/- 8.2 years, underwent LAE. The right, left and bilateral LAE was performed in 12, 10 and 2 patients, respectively. Indications for surgery were mainly primary and metastatic adrenal tumors. The operations were performed using a transperitoneal 4-port approach. RESULTS: Twenty six LAE were successfully performed in 24 patients...
October 2017: Urologii︠a︡
https://www.readbyqxmd.com/read/29128168/fifteen-years-of-adrenalectomies-impact-of-specialty-training-and-operative-volume
#4
Brenessa Lindeman, Daniel A Hashimoto, Yanik J Bababekov, Sahael M Stapleton, David C Chang, Richard A Hodin, Roy Phitayakorn
BACKGROUND: Previous associations between surgeon volume with adrenalectomy outcomes examined only a sample of procedures. We performed an analysis of all adrenalectomies performed in New York state to assess the effect of surgeon volume and specialty on clinical outcomes. METHODS: Adrenalectomies performed in adults were identified from the New York Statewide Planning and Research Cooperative System from 2000-2014. Surgeon specialty, volume, and patient demographics were assessed...
November 8, 2017: Surgery
https://www.readbyqxmd.com/read/29126554/preoperative-genetic-testing-in-pheochromocytomas-and-paragangliomas-influences-the-surgical-approach-and-the-extent-of-adrenal-surgery
#5
Pavel Nockel, Mustapha El Lakis, Apostolos Gaitanidis, Lily Yang, Roxanne Merkel, Dhaval Patel, Naris Nilubol, Tamara Prodanov, Karel Pacak, Electron Kebebew
BACKGROUND: Our knowledge of the susceptibility genes for pheochromocytomas/paragangliomas has increased; however, data on its impact on surgical decision-making has not been described. The aim of this study was to determine the effect of routine preoperative genetic testing on the operative intervention in patients with pheochromocytomas/paragangliomas. METHODS: One-hundred-eight patients diagnosed with pheochromocytomas/paragangliomas who underwent 118 operations had preoperative genetic testing for 9 known pheochromocytoma/paraganglioma susceptibility genes...
November 7, 2017: Surgery
https://www.readbyqxmd.com/read/29125476/adrenalectomy-was-recommended-for-patients-with-subclinical-cushing-s-syndrome-due-to-adrenal-incidentaloma
#6
Dong Wang, Zhi-Gang Ji, Han-Zhong Li, Yu-Shi Zhang
OBJECTIVE: To assess whether adrenalectomy may improve biochemical and metabolic impairment for patients with subclinical Cushing syndrome (SCS) due to adrenal incidentaloma (AI) compared with conservative management. METHODS: A total of 87 patients with SCS due to AI in Peking Union Medical College Hospital between September 2011 and January 2016 have been treated. Forty-eight patients underwent laparoscopic adrenalectomy (operative group), whereas 39 were managed conservatively (control group)...
October 31, 2017: Cancer Biomarkers: Section A of Disease Markers
https://www.readbyqxmd.com/read/29122324/hemodynamic-instability-during-surgery-for-pheochromocytoma-comparing-the-transperitoneal-and-retroperitoneal-approach-in-a-multicenter-analysis-of-341-patients
#7
Wessel M C M Vorselaars, Emily L Postma, Eric Mirallie, Julien Thiery, Mattan Lustgarten, Jesse D Pasternak, Rocco Bellantone, Marco Raffaelli, Thomas Fahey, Menno R Vriens, Laurent Bresler, Laurent Brunaud, Rasa Zarnegar
BACKGROUND: Intraoperative hemodynamic instability is a major challenge during adrenalectomy for pheochromocytoma. Typically, pheochromocytoma is performed laparoscopically either through the retroperitoneal or transperitoneal approach. We aimed to determine if the operative approach affects intraoperative hemodynamic instability during surgery for pheochromocytoma in a large multicenter multicenter cohort. METHODS: Retrospective, multicenter analysis of consecutive patients with pheochromocytoma who underwent total unilateral laparoscopic adrenalectomy without conversion were included...
November 6, 2017: Surgery
https://www.readbyqxmd.com/read/29108705/metabolic-syndrome-is-associated-with-increased-postoperative-complications-and-use-of-hospital-resources-in-patients-undergoing-laparoscopic-adrenalectomy
#8
Omair A Shariq, Kristin M Fruth, Kristine T Hanson, Patricia A Cronin, Melanie L Richards, David R Farley, Geoffrey B Thompson, Elizabeth B Habermann, Travis J McKenzie
BACKGROUND: Rates of obesity and metabolic syndrome continue to rise worldwide; however, the impact of metabolic syndrome on outcomes following adrenalectomy has not been described. In this study, we sought to investigate the effects of metabolic syndrome on postoperative 30-day morbidity, mortality, and utilization of hospital resources in a large cohort of patients undergoing elective laparoscopic adrenalectomy. METHODS: Patients who underwent laparoscopic adrenalectomy from 2005 to 2014 were identified in the American College of Surgeons National Surgical Quality Improvement Program database...
November 3, 2017: Surgery
https://www.readbyqxmd.com/read/29098197/simultaneous-bilateral-laparoscopic-adrenalectomy-for-adrenal-metastases-of-renal-cell-carcinoma-a-case-report
#9
Akbar Nouralizadeh, Amir Afyouni, Behnam Shakiba, Fahad Khalid Radhi
The possibility of bilateral adrenal gland metastasis from renal cell carcinoma (RCC) has been extremely rarely reported. Surgery may be the preferred treatment strategy for adrenal metastasis from RCC. In this article, we present a patient with bilateral large adrenal metastases from the left RCC, which was managed with simultaneous bilateral laparoscopic excision. A 64-year-old woman had undergone left adrenal sparing radical nephrectomy for a left RCC 7 years ago. Her abdominal CT scan revealed bilateral large adrenal metastasis...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29082324/left-adrenal-tumor-disappeared-outside-a-field-of-vision-during-laparoscopic-surgery-the-true-identity-was-gastrointestinal-stromal-tumor
#10
Hiroshi Ushida, Hirofumi Goto, Satoshi Ishitoya, Hiroyuki Onishi
Background: We report a case of gastrointestinal stromal tumor (GIST) mimicking a left adrenal tumor. Case Presentation: A 62-year-old female was referred to our hospital for the treatment of left adrenal tumor of 2.8 × 2.3 cm incidentally found during her annual checkup. The preoperative diagnosis based on upper gastroscopy and imaging complete examinations was nonfunctional left adrenal tumor possessing malignant potential. Transperitoneal laparoscopic left adrenalectomy was performed. However, the tumor was not found in the excised adrenal gland that had been completely removed during surgery...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29078892/high-perioperative-morbidity-and-mortality-in-patients-with-malignant-nonfunctional-adrenal-tumors
#11
Andrea R Marcadis, Gustavo A Rubio, Zahra F Khan, Josefina C Farra, John I Lew
BACKGROUND: Both functional (hormone hypersecreting) and nonfunctional (nonhypersecreting) adrenal tumors can have benign or malignant pathology. This study compares perioperative in-hospital outcomes after adrenalectomy in patients with benign versus malignant nonfunctional primary adrenal tumors. METHODS: A retrospective cross-sectional analysis was performed using the Nationwide Inpatient Sample database (2006-2011) to identify patients who underwent unilateral open or laparoscopic adrenalectomy for nonfunctional primary adrenal tumors...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29046752/an-exceedingly-rare-adrenal-collision-tumor-adrenal-adenoma-metastatic-breast-cancer-myelolipoma
#12
Dongyan Liu, Sahayini A Kumar
Adrenal collision tumors (ACTs), in which distinct tumors coexist without histological intermingling in the same adrenal gland, are rare and their actual prevalence is unknown. ACTs commonly consist of adrenal cortical adenoma, myelolipoma, or metastatic malignant tumor. We report a 58-year-old woman with a past history of breast cancer, who presented with a 1 month history of fevers, chills, and abdominal fullness. The physical examination and the laboratory data including endocrine studies were unremarkable...
October 2017: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/28983462/a-case-of-adrenocortical-oncocytic-neoplasm-treated-with-laparoscopic-adrenalectomy
#13
Masahiko Sato, Michinobu Ozawa, Akito Kuromoto, Kento Morozumi, Senji Hoshi, Kenji Numahata
No abstract text is available yet for this article.
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28982624/robotic-retrocaval-metastasectomy-after-an-ipsilateral-radical-nephrectomy
#14
Ryan J Nelson, Jeremy H Reese, Paurush Babbar, Jihad H Kaouk
OBJECTIVE: Robotic management of a retrocaval metastasis can be challenging because of prior surgery leading to scarring and obscure surgical planes around vital structures. We present our robotic approach and technique to manage a large retrocaval, biopsy-proven, metastatic mass after previous laparoscopic right radical nephrectomy with concomitant adrenalectomy 10 years ago. METHODS: We present a 62-year-old man who previously underwent a laparoscopic right radical nephrectomy for pT1bNxMx chromophobe renal cell carcinoma (RCC) in 2007...
September 2017: Urology
https://www.readbyqxmd.com/read/28982516/robotic-assisted-thoracoscopic-transdiaphragmatic-adrenalectomy-ratta-for-metastatic-renal-cell-carcinoma
#15
Christopher M Russell, Simpa S Salami, Amir H Lebastchi, Kiran H Lagisetty, Rohit Mehra, Khaled S Hafez, Rishindra M Reddy, Alon Z Weizer
OBJECTIVE: Robotic-assisted thoracoscopic transdiaphragmatic adrenalectomy (RATTA) represents a novel surgical approach for the management of adrenal pathology in patients with a history of extensive transperitoneal or retroperitoneal procedures. METHODS: Here we report the first described case of RATTA in a 56-year-old woman with metastatic renal cell carcinoma to the left adrenal gland and right lung. With the assistance of cardiothoracic surgery, this patient underwent robotic-assisted thoracoscopic pulmonary wedge resection and RATTA...
July 2017: Urology
https://www.readbyqxmd.com/read/28971785/adrenalectomy-for-benign-and-malignant-disease-utilization-and-outcomes-by-surgeon-specialty-and-surgical-approach-from-2003-2013
#16
Izak Faiena, Alexandra Tabakin, Jeffrey Leow, Neal Patel, Parth K Modi, Amirali H Salmasi, Benjamin I Chung, Steven L Chang, Eric A Singer
INTRODUCTION: Data on the utilization of open, laparoscopic and robotic adrenalectomy on a national level is limited. MATERIALS AND METHODS: Data on patients who underwent open, laparoscopic, or robotic adrenalectomy for benign or malignant disease in the US from 2003-2013 were extracted using ICD-9 codes from the Premier Hospital Database. Surgeon specialty, patient demographics, hospital characteristics, and complications were compared. Data were analyzed using univariate and multivariable logistic regression analyses...
October 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28958611/clevidipine-for-hypertension-treatment-in-pheochromocytoma-surgery
#17
C Luis-García, E Arbonés-Aran, C Teixell-Aleu, L Lorente-Poch, L Trillo-Urrutia
Pheochromocytoma is a catecholamine-producing tumour and laparoscopic adrenalectomy is its treatment of choice. During pneumoperitoneum insufflation and tumour handling there is a high risk of massive catecholamine release and hypertensive crisis. After tumour excision, severe arterial hypotension is a common effect, due to relative vasodilation and the residual effect of antihypertensive drugs. We report the case of a patient with pheochromocytoma who was treated with laparoscopic adrenalectomy. During surgical manipulation there was a sudden hypertensive peak that could be controlled quickly with clevidipine infusion...
September 25, 2017: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/28951539/a-case-of-hemorrhagic-adrenal-pseudocyst-mimicking-solid-tumor
#18
Makoto Isono, Keiichi Ito, Kenji Seguchi, Takashi Kimura, Kazuyoshi Tachi, Takako Kono, Hiroshi Shinmoto, Tomohiko Asano
BACKGROUND Adrenal pseudocysts are often discovered incidentally on imaging, but the diagnosis and treatment can be challenging. A case of adrenal pseudocyst with hemorrhage is presented that mimicked a solid tumor on imaging, resulting in adrenalectomy. CASE REPORT A 78-year-old woman was found to have a right adrenal lesion on abdominal imaging. Enhanced computed tomography (CT) showed a heterogeneously enhanced mass, and magnetic resonance imaging (MRI) showed a high-intensity T1-weighted and T2-weighed image, with an irregular enhanced margin...
September 27, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28945695/laparoscopic-adrenalectomy-in-elderly-patients
#19
Marthe Weinandt, Sébastien Gaujoux, Antoine Khayat, Jérôme Bertherat, Christophe Baillard, Bertrand Dousset
With increase life expectancy, surgical indications in elderly become more frequent. The aim of this study was to analyze indications and outcome of laparoscopic adrenalectomy in patients over 75. Between 1994 and 2014, 641 patients underwent laparoscopic adrenalectomy. Preoperatively, all patients had a standardized preoperative work-up. Patients over 75 were compared with a control group of younger patients. The median age was 52 years (41 to 61) and 3.6% of patients (n=23) were over 75. Patients over 75 were more frequently operated for malignant lesion (21...
September 22, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28895564/frontiers-in-robot-assisted-retroperitoneal-oncological-surgery
#20
REVIEW
Wesley W Ludwig, Michael A Gorin, Phillip M Pierorazio, Mohamad E Allaf
Robot assistance has been rapidly adopted by urological surgeons and has become particularly popular for oncological procedures involving the retroperitoneal space. The wide dissemination of robot assistance probably reflects the limited amount of operating space available within the retroperitoneum and the advantages provided by robot-assisted approaches, including 3D imaging, wristed instrumentation and the shorter learning curve compared with that associated with the equivalent laparoscopic techniques. Surgical procedures that have traditionally been performed using an open or laparoscopic approach, such as partial nephrectomy, radical nephrectomy, retroperitoneal lymph node dissection, nephroureterectomy and adrenalectomy, are now often being performed using robot assistance...
September 12, 2017: Nature Reviews. Urology
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