Prospective randomized comparison of laparoscopic versus open adrenalectomy for sporadic pheochromocytoma
| Autor: | Claudia Agabiti Rosei, Guido A. M. Tiberio, Damiano Rizzoni, Simona De Ponti, Luca Arru, Stefano Maria Giulini, Albert Matheis, Gian Luca Baiocchi |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Adrenal Gland Neoplasms Blood Pressure Pheochromocytoma Open surgery Severity of Illness Index law.invention Pneumoperitoneum Randomized controlled trial law Monitoring Intraoperative Severity of illness medicine Adrenalectomy Laparoscopy Humans Prospective Studies Prospective cohort study Aged Laparotomy medicine.diagnostic_test business.industry Carbon Dioxide Middle Aged medicine.disease Magnetic Resonance Imaging Surgery Treatment Outcome Female business Tomography X-Ray Computed Pneumoperitoneum Artificial Abdominal surgery Follow-Up Studies |
| Zdroj: | Surgical endoscopy. 22(6) |
| ISSN: | 1432-2218 |
| Popis: | Laparoscopic adrenalectomy for pheochromocytoma remains subject of debate, owing to the systemic consequences of pneumoperitoneum in patients with catecholamine-secreting tumors. A prospective randomized study was conducted (2000–2006), evaluating cardiovascular instability during open (n = 9, group A) or laparoscopic (n = 13, group B) adrenalectomy for pheochromocytoma. Haemodynamic parameters were recorded by invasive monitoring. Haemodynamic instability was observed in 3/9 (group A) and 6/13 patients (group B), with a mean of 1.8 and 2.2 hypertensive peaks per patient (p = n.s.). Blood loss (164 ± 94 cc versus 48 ± 36 cc, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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