Minimally Invasive Resection of Adrenocortical Carcinoma: a Multi-Institutional Study of 201 Patients
| Autor: | Sharon M. Weber, Ioannis Hatzaras, Natalie Seiser, Lauren M. Postlewait, Colleen M. Kiernan, Quan-Yang Duh, Jason K. Sicklick, Rivfka Shenoy, Edward A. Levine, Ahmed Salem, George A. Poultsides, Timothy M. Pawlik, John E. Phay, John C. Mansour, Tracy S. Wang, Thuy B. Tran, Konstantinos I. Votanopoulos, Ryan C. Fields, Lawrence A. Shirley, Christina W. Lee, Carmen C. Solorzano, Shishir K. Maithel, David F. Schneider, Linda X. Jin, Adam C. Yopp, Glen Leverson, Jason D. Prescott, Shady Gad |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Adrenocortical carcinoma Survival medicine.medical_treatment Surgical approach 030230 surgery 0302 clinical medicine Open Resection Adrenocortical Carcinoma 80 and over Cancer Aged 80 and over Gastroenterology Adrenalectomy Middle Aged Prognosis Survival Rate 030220 oncology & carcinogenesis Female 6.4 Surgery Adult medicine.medical_specialty Disease-free survival Clinical Sciences Article Disease-Free Survival Resection Young Adult 03 medical and health sciences Minimally invasive surgery Clinical Research medicine Humans Minimally Invasive Surgical Procedures Retrospective Studies Aged business.industry Evaluation of treatments and therapeutic interventions Perioperative medicine.disease Adrenal Cortex Neoplasms Surgery T-stage business |
| Zdroj: | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, vol 21, iss 2 Lee, CW; Salem, AI; Schneider, DF; Leverson, GE; Tran, TB; Poultsides, GA; et al.(2017). Minimally Invasive Resection of Adrenocortical Carcinoma: a Multi-Institutional Study of 201 Patients. JOURNAL OF GASTROINTESTINAL SURGERY, 21(2), 352-362. doi: 10.1007/s11605-016-3262-4. UC San Francisco: Retrieved from: http://www.escholarship.org/uc/item/6j9509kb |
| ISSN: | 1873-4626 1091-255X |
| DOI: | 10.1007/s11605-016-3262-4 |
| Popis: | Background and objectivesMinimally invasive surgery for adrenocortical carcinoma (ACC) is controversial. We sought to evaluate the perioperative and long-term outcomes following minimally invasive (MIS) and open resection (OA) of ACC in patients treated with curative intent surgery.MethodsRetrospective data from patients who underwent adrenalectomy for primary ACC at 13 tertiary care cancer centers were analyzed, including demographics, clinicopathological, and operative outcomes. Outcomes following MIS were compared to OA.ResultsA total of 201 patients were evaluated including 47 MIS and 154 OA. There was no difference in utilization of MIS approach among institutions (p = 0.24) or 30-day morbidity (29.3%, MIS, vs. 30.9%, OA; p = 0.839). The only preoperatively determined predictor for MIS was smaller tumor size (p |
| Databáze: | OpenAIRE |
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