European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma

Autor: S Gaujoux, R Mihai, B Carnaille, B Dousset, C Fiori, F Porpiglia, P Hellman, M Iacobone, J-L Kraimps, G Donatini, J Langenhuijsen, K Lorenz, M Mathonnet, E Mirallié, C Blanchard, E Nieveen van Dijkum, M Raffaelli, N Rayes, F Sébag, F Triponez, A Valeri, J Waldmann, F Zinzindohoue
Přispěvatelé: Surgery, AGEM - Digestive immunity
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Palliative care
Settore MED/18 - CHIRURGIA GENERALE
Aftercare
030230 surgery
Medical Records
Neoplasms
Multiple Primary
0302 clinical medicine
Multiple Primary
Neoplasms
Adrenocortical Carcinoma
Neoplasm Metastasis
Prospective cohort study
Medical History Taking
Referral and Consultation
Tomography
Medical record
Palliative Care
Neoplasms
Second Primary
Adrenalectomy
Cytoreduction Surgical Procedures
X-Ray Computed
Second Primary
Local
030220 oncology & carcinogenesis
Lymphatic Metastasis
Adrenal Cortex Neoplasms
Humans
Lymph Node Excision
Neoplasm Recurrence
Local
Organ Sparing Treatments
Physical Examination
Positron-Emission Tomography
Preoperative Care
Tomography
X-Ray Computed
medicine.medical_specialty
MEDLINE
Preoperative care
03 medical and health sciences
medicine
Radical surgery
Gynecology
business.industry
General surgery
Perioperative
Surgery
Neoplasm Recurrence
business
Zdroj: British journal of surgery, 104(4), 358-376. John Wiley and Sons Ltd
ISSN: 0007-1323
Popis: Background Radical surgery provides the best chance of cure for adrenocortical carcinoma (ACC), but perioperative surgical care for these patients is yet to be standardized. Methods A working group appointed jointly by ENSAT and ESES used Delphi methodology to produce evidence-based recommendations for the perioperative surgical care of patients with ACC. Papers were retrieved from electronic databases. Evidence and recommendations were classified according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system, and were discussed until consensus was reached within the group. Results Twenty-five recommendations for the perioperative surgical care of patients with ACC were formulated. The quality of evidence is low owing to the rarity of the disease and the lack of prospective surgical trials. Multi-institutional prospective cohort studies and prospective RCTs are urgently needed and should be strongly encouraged. Conclusion The present evidence-based recommendations provide comprehensive advice on the optimal perioperative care for patients undergoing surgery for ACC.
Databáze: OpenAIRE
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