Advances in pheochromocytoma management in the era of laparoscopy

dc.contributor.authorFaria, Eliney F.
dc.contributor.authorAndreoni, Cassio
dc.contributor.authorKrebs, Rodrigo K.
dc.contributor.authorNascimento, Humberto
dc.contributor.authorGoldman, Susan M.
dc.contributor.authorKater, Claudio
dc.contributor.authorOrtiz, Valdemar
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:49:12Z
dc.date.available2016-01-24T13:49:12Z
dc.date.issued2007-11-01
dc.description.abstractPurpose: To understand the advances that were made in the management of pheochromocytoma since laparoscopy was initiated at our institution.Materials and Methods: Data for all patients who underwent surgical procedure for adrenal diseases had been recorded prospectively since September 2000, when laparoscopy was routinely initiated at our institution; all patients with a diagnosis of pheochromocytoma up to December 2005 had their data assessed (group 1). Charts for all patients with a diagnosis of pheochromocytoma who underwent surgery at our institution from 1990 to 1995 (group 2) were reviewed, and the data were compared with data from patients in group 1.Results: in group 1, 24 patients with pheochromocytoma underwent 26 procedures at our institution, including five patients with extra-adrenal tumor and one patient with bilateral tumor; 18 adrenalectomies (one bilateral) were performed, and two extra-adrenal tumors were removed using a laparoscopic approach. in group 2, ten open adrenalectomies were performed in 9 patients (1 bilateral). the patients who underwent laparoscopy for either adrenal or extra-adrenal tumor had shorter operative times and hospital stay and less bleeding.Conclusions: Pheochromocytoma is a complex disease with potentially severe complications. Laparoscopic adrenalectomy can be safely performed for removal of either adrenal or extra-adrenal tumors. Patients spend a shorter time in the critical care unit after the procedure.en
dc.description.affiliationUniversidade Federal de São Paulo, Div Urol, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Radiol, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Div Endocrinol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Urol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Radiol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Endocrinol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1303-1307
dc.identifierhttp://dx.doi.org/10.1089/end.2007.9884
dc.identifier.citationJournal of Endourology. New Rochelle: Mary Ann Liebert Inc, v. 21, n. 11, p. 1303-1307, 2007.
dc.identifier.doi10.1089/end.2007.9884
dc.identifier.issn0892-7790
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30139
dc.identifier.wosWOS:000251445600010
dc.language.isoeng
dc.publisherMary Ann Liebert Inc
dc.relation.ispartofJournal of Endourology
dc.rightsAcesso restrito
dc.titleAdvances in pheochromocytoma management in the era of laparoscopyen
dc.typeArtigo
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