SUCCESSFUL OUTCOMES IN PHEOCHROMOCYTOMA SURGERY IN THE MODERN ERA

Autor:	Andrew C. Novick, Emmanuel L. Bravo, David A. Goldfarb, James Ulchaker
Rok vydání:	1999
Předmět:	Chemotherapy medicine.medical_specialty business.industry Urology medicine.medical_treatment medicine.disease Preoperative care Intensive care unit Surgery Blockade law.invention Clinical trial Pheochromocytoma law Statistical significance medicine Complication business
Zdroj:	Journal of Urology. 161:764-767
ISSN:	1527-3792 0022-5347
DOI:	10.1016/s0022-5347(01)61762-2
Popis:	Purpose: We describe our experience with surgical management, complications and treatment outcome of histologically confirmed pheochromocytoma.Materials and Methods: The records of 113 patients who underwent surgical excision of pheochromocytoma were reviewed and assessed for preoperative medical treatment, intraoperative findings, postoperative hospitalization and complications.Results: There were no surgical mortalities. Average length of stay in the intensive care unit was 1.2 days. There were only 6 major cardiovascular complications all of which occurred in patients who received preoperative medications, including 5 with alpha blockade. Patients receiving no preoperative alpha blockade required an average of 956 cc less in total intraoperative fluids, which approached statistical significance, and 479 cc less fluids on postoperative day 1, which was statistically significant.Conclusions: Preoperative alpha-adrenergic blockade is not essential in pheochromocytoma patients. Calcium channel bloc...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::711d4ebc947f9c0c676d5c674517a024 https://doi.org/10.1016/s0022-5347(01)61762-2 Zobrazit plný text záznamu