Evidence map›Paper›PMID 39347828›Full record

ArticleWorld journal of urology2024

Hyper-realistic rendering-assisted laparoscopic adrenalectomy for giant adrenal tumors: a pilot study.

Jiamo Zhang, Ke Hu, Jing Qing, Jiangchuan Chen, Changlong Li, Yongxia Zhou

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Jiamo ZhangDepartment of Urology, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, China.
Ke HuDepartment of Urology, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, China.
Jing QingDepartment of Urology, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, China.
Jiangchuan ChenDepartment of Urology, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, China.
Changlong LiDepartment of Urology, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, China.
Yongxia ZhouRadiology Department, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, China. yongxiazhou121@163.com.

Funding

This study was supported by the Chongqing Science and Health Joint Medical Research Project 2022MSXM108Yongchuan Natural Science Foundation Project 2022yc-jckx20054
6 · The paper itself

Abstract

purposeThis study aimed to explore the application value of hyperrealistic rendering (HRR) in laparoscopic giant adrenal tumor resection.

methodsWe retrospectively analyzed 25 patients with giant adrenal tumors from January 2021 to January 2024, with a median age of 56 (40.5, 58.5) years and a tumor median diameter of 7.20 (6.80, 8.50) cm. All patients underwent preoperative medical HRR based on enhanced computed tomography, followed by laparoscopic adrenal tumor resection.

resultsHRR was used to initially determine the nature of the tumor and develop a detailed surgical plan, which was completed in 25 patients preoperatively. All 24 cases of tumors were located in the adrenal gland, 1 case was located in the retroperitoneum, and 13 and 12 cases were on the left and right side, respectively. Preoperative HRR 3D imaging was consistent with the intraoperative situation, and 25 cases had successful surgeries. The median operation time was 165 (120.0, 250.0) min, and median bleeding and blood transfusion volume were 200 (150.0, 450.0) and 200.0 (150.0, 450.0) mL, respectively. There were no collateral injuries to important organs and major vessels and no cases of conversion to open surgery.

conclusionFor large retroperitoneal adrenal tumors, HRR for three-dimensional (3D) reconstruction imaging enables the operator to fully understand the relationship between the tumor and surrounding organs and blood vessels preoperatively, which can reduce intraoperative bleeding and collateral injuries, improve the success rate of laparoscopic resection, and safety of the operation.

Indexed as

AdrenalectomyAdrenal Gland NeoplasmsLaparoscopyAdultFemaleHumansImaging, Three-DimensionalMaleMiddle AgedPilot ProjectsRetrospective StudiesSurgery, Computer-AssistedTomography, X-Ray ComputedTumor BurdenAdrenal tumorComputed tomographyHyper-realistic rendering techniqueLaparoscopyMultiplanar reconstruction

Identifiers

PMID39347828

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