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Adrenals

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5 papers 0 to 25 followers PRA vs LA randomized trial
By Julie Miller Endocrine Surgeon
https://www.readbyqxmd.com/read/27438168/how-to-quantify-recovery-after-laparoscopic-adrenalectomy-an-assessment-of-patient-reported-health-related-quality-of-life
#1
Ostap Dovirak, Jialin Mao, Kimberly Taylor, Peter Chang, Andrew A Wagner
INTRODUCTION AND OBJECTIVE: Minimally invasive approaches to adrenal surgery were adopted in an attempt to reduce surgical morbidity. Despite the widespread use, few studies objectively evaluate health-related quality of life (HRQOL) in patients undergoing laparoscopic adrenalectomy (LA). We assessed patients' health status and recovery after LA with the use of validated questionnaires. METHODS: Patients seen in urology clinic for evaluation of adrenal surgery were enlisted in our prospective, patient-reported, HRQOL study assessing postoperative recovery...
August 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27278528/management-of-adrenal-incidentaloma-the-role-of-adrenalectomy-may-be-underestimated
#2
Yun-Lin Ye, Xiao-Xu Yuan, Ming-Kun Chen, Yu-Ping Dai, Zi-Ke Qin, Fu-Fu Zheng
BACKGROUND: To demonstrate clinical characteristics of adrenal incidentaloma in South China and explore its comprehensive management. METHODS: The clinical data of patients with adrenal neoplasm from Jan 1998 to Dec 2012 were retrospectively analysed. Patients with suspicion of adrenal abnormalities or those in whom adrenal abnormalities were detected in the staging procedures of other cancers were excluded. Most patients with adrenal incidentaloma chose to have adrenalectomy, and some chose surveillance...
June 8, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27325147/adrenal-vein-sampling-versus-ct-scan-to-determine-treatment-in-primary-aldosteronism-an-outcome-based-randomised-diagnostic-trial
#3
Tanja Dekkers, Aleksander Prejbisz, Leo J Schultze Kool, Hans J M M Groenewoud, Marieke Velema, Wilko Spiering, Sylwia Kołodziejczyk-Kruk, Mark Arntz, Jacek Kądziela, Johannes F Langenhuijsen, Michiel N Kerstens, Anton H van den Meiracker, Bert-Jan van den Born, Fred C G J Sweep, Ad R M M Hermus, Andrzej Januszewicz, Alike F Ligthart-Naber, Peter Makai, Gert-Jan van der Wilt, Jacques W M Lenders, Jaap Deinum
BACKGROUND: The distinction between unilateral aldosterone-producing adenoma or bilateral adrenal hyperplasia as causes of primary aldosteronism is usually made by adrenal CT or by adrenal vein sampling (AVS). Whether CT or AVS represents the best test for diagnosis remains unknown. We aimed to compare the outcome of CT-based management with AVS-based management for patients with primary aldosteronism. METHODS: In a randomised controlled trial, we randomly assigned patients with aldosteronism to undergo either adrenal CT or AVS to determine the presence of aldosterone-producing adenoma (with subsequent treatment consisting of adrenalectomy) or bilateral adrenal hyperplasia (subsequent treatment with mineralocorticoid receptor antagonists)...
September 2016: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/26088650/adrenal-imaging-features-predict-malignancy-better-than-tumor-size
#4
Jenny Y Yoo, Kelly L McCoy, Sally E Carty, Michael T Stang, Michaele J Armstrong, Gina M Howell, David L Bartlett, Mitchell E Tublin, Linwah Yip
INTRODUCTION: In adrenal tumors, size ≥ 4 cm has been an indication for adrenalectomy due to concern for malignancy. We compared mass size to imaging features (ImF) for accuracy in diagnosing adrenal malignancy. METHODS: Data were retrieved for 112 consecutive patients who had adrenalectomy from January 2011 to August 2014. ImF was classified as nonbenign if HU > 10 on unenhanced CT scan or if loss of signal on out-of-phase imaging was absent on chemical-shift MRI...
December 2015: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/25243546/randomized-clinical-trial-of-posterior-retroperitoneoscopic-adrenalectomy-versus-lateral-transperitoneal-laparoscopic-adrenalectomy-with-a-5-year-follow-up
#5
RANDOMIZED CONTROLLED TRIAL
Marcin Barczyński, Aleksander Konturek, Wojciech Nowak
OBJECTIVE: To test if posterior retroperitoneoscopic adrenalectomy (PRA) is superior to lateral transperitoneal laparoscopic adrenalectomy (LTLA). BACKGROUND: Most popular LTLA has been recently challenged by an increasing popularity of PRA, which is believed by many surgeons (not evidence-based) as superior to LTLA in the treatment of small and benign adrenal tumors. METHODS: Participants were assigned randomly to PRA or LTLA and followed for 5 years after surgery...
November 2014: Annals of Surgery
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