Evidence map›Paper›PMID 36991447›Full record

Trial reportBMC urology2023

Renal‑rotation techniques in retroperitoneoscopic adrenalectomy for giant pheochromocytomas: a clinical intervention study with historical controls.

Ruizhi Xue, Caoyang Hu, Zhongyi Zheng, Liang Wei, Xiaobin Yuan, Xiao Lyu, Pengliang Shen, Jun Li, Xiaoming Cao

Abstract readClinical Trial
In one paragraph

Trial report in BMC urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ruizhi XueUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Caoyang HuUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Zhongyi ZhengUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Liang WeiUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Xiaobin YuanUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Xiao LyuUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Pengliang ShenUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Jun LiUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China.
Xiaoming CaoUrology Department, The First Hospital of Shanxi Medical University, Jiefang South Road, Taiyuan, Shanxi, 030000, China. drcxm2@126.com.

Funding

Health Commission of Shanxi Province 2020087
6 · The paper itself

Abstract

backgroundDealing with the giant pheochromocytomas (maximum diameter ≥ 6 cm) has long been a tough challenge for urologists. We introduced a new retroperitoneoscopic adrenalectomy method modified with renal-rotation techniques to treat giant pheochromocytomas.

methods28 diagnosed patients were prospectively recruited as the intervention group. Meanwhile, by referring to the historical records in our database, matched patients who had undergone routine retroperitoneoscopic adrenalectomy (RA), transperitoneal laparoscopic adrenalectomy (TA), or open adrenalectomy (OA) for giant pheochromocytomas were selected as controls. Perioperative and follow-up data were collected for comparative assessment.

resultsAmong all the groups, the intervention group had the minimal bleeding volume (28.93 ± 25.94 ml, p < 0.05), the least intraoperative blood pressure variation (59.11 ± 25.68 mmHg, p < 0.05), the shortest operation time (115.32 ± 30.69 min, p < 0.05), the lowest postoperative ICU admission rates (7.14%, p < 0.05), and shortest drainage time length (2.57 ± 0.50 days, p < 0.05). Besides, compared with TA and OA groups, intervention group was also characterized by lower pain scores (3.21 ± 0.63, p < 0.05), less postoperative complications (p < 0.05), earlier diet initiation time (1.32 ± 0.48 postoperative days, p < 0.05) and ambulation time (2.68 ± 0.48 postoperative days, p < 0.05). Follow-up blood pressure and metanephrine and normetanephrine levels in all intervention group patients remained normal.

conclusionCompared with RA, TA, and OA, retroperitoneoscopic adrenalectomy with renal-rotation techniques is a more feasible, efficient, and secure surgical treatment for giant pheochromocytomas.

trial registrationThis study has been prospectively registered on the Chinese Clinical Trial Registry website (ChiCTR2200059953, date of first registration: 14/05/2022).

Indexed as

Adrenal Gland NeoplasmsLaparoscopyPheochromocytomaAdrenalectomyHumansPostoperative ComplicationsRetrospective StudiesAdrenalectomyClinical interventionComparative studyGiant pheochromocytoma

Identifiers

PMID36991447
PMCPMC10061753

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.