ArticleWorld journal of surgery2018
Minimally Invasive Adrenalectomy for Adrenocortical Carcinoma: Five-Year Trends and Predictors of Conversion.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Comparing the efficacy and safety of laparoscopic and robotic adrenalectomy: a meta-analysis and trial sequential analysis.Langenbeck's archives of surgery · 2020Pooled it
- Surgery for advanced adrenal malignant disease: recommendations based on European Society of Endocrine Surgeons consensus meeting.The British journal of surgery · 2024Article
- Analysis of risk factors for conversion in laparoscopic adrenalectomy: a single-institution series of 256 patients.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Minimally invasive versus open adrenalectomy for adrenocortical carcinoma: the keys surgical factors influencing the outcomes-a collective overview.Langenbeck's archives of surgery · 2023Review
- Laparoscopic adrenalectomy for adrenal metastases of solid tumors.Surgical endoscopy · 2023Article
- Surgical Management of Adrenocortical Carcinoma: A Literature Review.Journal of clinical medicine · 2022Review
- Adrenocortical carcinoma with inferior vena cava tumor thrombus found during surgery.IJU case reports · 2022Article
- Cancer risk in adrenalectomy: are adrenal lesions equal or more than 4 cm a contraindication for laparoscopy?Surgical endoscopy · 2022Article
- Robotic Adrenalectomy: An Initial Experience in a Turkish Regional Hospital.Frontiers in surgery · 2022Article
- Surgical Management of Adrenocortical Carcinoma: Current Highlights.Biomedicines · 2021Review
- Robot-assisted adrenalectomy: state of the art.Updates in surgery · 2021Review
- Implications of Conversion during Attempted Minimally Invasive Adrenalectomy for Adrenocortical Carcinoma.Annals of surgical oncology · 2021Article
- Risk factors for complications after robotic adrenalectomy: a review.Gland surgery · 2020Review
- Minimally invasive adrenalectomy for adrenocortical cancers: A systematic review.Indian journal of urology : IJU : journal of the Urological Society of IndiaReview
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdrenocortical carcinoma (ACC) is rare but often fatal. Surgery offers the only chance of cure. As minimally invasive (MI) procedures for cancer become common, their role for ACC is still debated. We reviewed usage of MI approaches for ACC over time and risk factors for conversion using a large national database.
methodsACC patients with localized disease were identified in the National Cancer Data Base from 2010 to 2014. A retrospective review examined trends in the surgical approach over time. Patient demographics, surgical approach, and tumor characteristics between MI, open, and converted procedures were compared.
results588 patients underwent adrenalectomy for ACC, of which 200 were minimally invasive. From 2010 to 2014, MI operations increased from 26 to 44% with robotic procedures increasing from 5 to 16%. The use of MI operations compared to open was not different based on facility type (p = 0.40) or location (p = 0.63). MI tumors were more likely to be confined to the adrenal (p < 0.001) but final margin status was not different (p = 0.56). Conversion was performed in 38/200 (19%). Average tumor size was 10.2 cm in the converted group compared to 8.6 cm in the MI group (p = 0.09). There was no difference in extent of disease (p = 0.33), margin status (p = 0.12), or lymphovascular invasion (p = 0.59) between MI and converted procedures. Tumor size > 5 cm was the only significant predictor of conversion (p = 0.04). No patients with pathologic stage I disease required conversion (0/19).
conclusionsThe frequency of MI approaches for ACC is increasing. In the final year of the study, 44% of adrenalectomies were MI. Size > 5 cm was the only significant predictor of conversion.
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