ArticleIndian journal of urology : IJU : journal of the Urological Society of India
Open surgery for pheochromocytoma: Current indications and outcomes from a retrospective cohort.
Article in Indian journal of urology : IJU : journal of the Urological Society of India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Giant Pheochromocytoma Resection Using Partial Cardiopulmonary Bypass and Blood Purification Therapy.JCEM case reports · 2024Article
- Image-Guided Precision Medicine in the Diagnosis and Treatment of Pheochromocytomas and Paragangliomas.Cancers · 2023Review
- Management of Pheochromocytomas and Paragangliomas: A Case-Based Review of Clinical Aspects and Perspectives.Journal of clinical medicine · 2022Review
- Risk Predictors of Prolonged Hypotension After Open Surgery for Pheochromocytomas and Paragangliomas.World journal of surgery · 2020Article
- What's inside.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
- Surgical and functional outcomes of bilateral synchronous adrenalectomy for functional tumors: A cohort study.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
- Surgical and functional outcomes of adrenalectomy by urologists: A 17-year cohort review.Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
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4 authors at 1 institution in 1 country.
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Abstract
introductionMinimally invasive approaches are the current standard of care for pheochromocytoma/paraganglioma (PC/PG) surgery. However, a number of patients still undergo open surgery for these tumors. We evaluated the current indications and outcomes of open surgery for PC/PG to define the role of this approach.
methodsData of patients undergoing PC/PG surgery between July 2008 and July 2017 were retrieved from our prospectively maintained electronic database and hospital records. Tumor characteristics, operative and recovery parameters, and complications were evaluated for indications of open procedure and outcomes.
resultsDuring the study period, 106 patients underwent 124 procedures for PC/PG, including 18 simultaneous bilateral procedures. Surgeries included 102 adrenalectomies, 18 PG excisions, one partial adrenalectomy, and three partial cystectomies. Twenty-five (23.6%) patients (mean age 38.2 ± 16.1 years) underwent an open procedure, including four bilateral procedures. This included 16 adrenalectomies and 9 PG excisions. The indications for open surgery were unilateral large tumours (5; size 8-16, mean 11 cm), bilateral large tumours (2; size 6-10, mean 8.2 cm), retrocaval tumour extension (4), inter aortocaval PGs (8), Retro-mesenteric PG (1), concomitant procedures (3), and conversion from laparoscopy (2). Mean operative time was 217 ± 63.8 min, blood loss was 868 ± 734.2 ml, 11 patients required blood transfusion, and hospital stay was 6.44 ± 2.4 days. All these parameters were higher than for minimally invasive surgery (MIS) in this cohort. Three patients (12%) suffered a postoperative complication, and the rate of complications was not higher than MIS cohort (16%).
conclusionsOpen surgery was most often indicated for large tumors or those located in the inter-aortocaval region. Most such procedures require large incisions and possible hepatic mobilization on the right side. The procedures can be safely completed with few complications.
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