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Ten year experience of retroperitoneal laparoscopic resection for pheochromocytomas: A dual-centre study of 72 cases.

Identifieur interne : 000432 ( Ncbi/Merge ); précédent : 000431; suivant : 000433

Ten year experience of retroperitoneal laparoscopic resection for pheochromocytomas: A dual-centre study of 72 cases.

Auteurs : Aude De Fourmestraux [Oman] ; Laurent Salomon ; Claude-Clément Abbou ; Philippe Grise

Source :

RBID : pubmed:25208805

English descriptors

Abstract

To evaluate the safety and efficacy of retroperitoneal laparoscopic resection in patients with pheochromocytoma in a retrospective study.

DOI: 10.1007/s00345-014-1397-z
PubMed: 25208805

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pubmed:25208805

Le document en format XML

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<title xml:lang="en">Ten year experience of retroperitoneal laparoscopic resection for pheochromocytomas: A dual-centre study of 72 cases.</title>
<author>
<name sortKey="De Fourmestraux, Aude" sort="De Fourmestraux, Aude" uniqKey="De Fourmestraux A" first="Aude" last="De Fourmestraux">Aude De Fourmestraux</name>
<affiliation wicri:level="1">
<nlm:affiliation>Service d'Urologie, Groupe Hospitalier du Havre, Hôpital Jacques Monod, BP 24, 76083, Le Havre, France, defourmestrauxaude@gmail.com.</nlm:affiliation>
<country wicri:rule="url">Oman</country>
<wicri:regionArea>Service d'Urologie, Groupe Hospitalier du Havre, Hôpital Jacques Monod, BP 24, 76083, Le Havre, France</wicri:regionArea>
<wicri:noRegion>France</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Salomon, Laurent" sort="Salomon, Laurent" uniqKey="Salomon L" first="Laurent" last="Salomon">Laurent Salomon</name>
</author>
<author>
<name sortKey="Abbou, Claude Clement" sort="Abbou, Claude Clement" uniqKey="Abbou C" first="Claude-Clément" last="Abbou">Claude-Clément Abbou</name>
</author>
<author>
<name sortKey="Grise, Philippe" sort="Grise, Philippe" uniqKey="Grise P" first="Philippe" last="Grise">Philippe Grise</name>
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<title xml:lang="en">Ten year experience of retroperitoneal laparoscopic resection for pheochromocytomas: A dual-centre study of 72 cases.</title>
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<name sortKey="De Fourmestraux, Aude" sort="De Fourmestraux, Aude" uniqKey="De Fourmestraux A" first="Aude" last="De Fourmestraux">Aude De Fourmestraux</name>
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<nlm:affiliation>Service d'Urologie, Groupe Hospitalier du Havre, Hôpital Jacques Monod, BP 24, 76083, Le Havre, France, defourmestrauxaude@gmail.com.</nlm:affiliation>
<country wicri:rule="url">Oman</country>
<wicri:regionArea>Service d'Urologie, Groupe Hospitalier du Havre, Hôpital Jacques Monod, BP 24, 76083, Le Havre, France</wicri:regionArea>
<wicri:noRegion>France</wicri:noRegion>
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<name sortKey="Salomon, Laurent" sort="Salomon, Laurent" uniqKey="Salomon L" first="Laurent" last="Salomon">Laurent Salomon</name>
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<name sortKey="Abbou, Claude Clement" sort="Abbou, Claude Clement" uniqKey="Abbou C" first="Claude-Clément" last="Abbou">Claude-Clément Abbou</name>
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<name sortKey="Grise, Philippe" sort="Grise, Philippe" uniqKey="Grise P" first="Philippe" last="Grise">Philippe Grise</name>
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<title level="j">World journal of urology</title>
<idno type="eISSN">1433-8726</idno>
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<date when="2015" type="published">2015</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent</term>
<term>Adrenal Gland Neoplasms (pathology)</term>
<term>Adrenal Gland Neoplasms (surgery)</term>
<term>Adrenalectomy (methods)</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Blood Loss, Surgical</term>
<term>Body Mass Index</term>
<term>Cohort Studies</term>
<term>Conversion to Open Surgery (statistics & numerical data)</term>
<term>Female</term>
<term>Humans</term>
<term>Laparoscopy (methods)</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pheochromocytoma (pathology)</term>
<term>Pheochromocytoma (surgery)</term>
<term>Postoperative Complications</term>
<term>Retroperitoneal Neoplasms (pathology)</term>
<term>Retroperitoneal Neoplasms (surgery)</term>
<term>Retroperitoneal Space (surgery)</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
<term>Tumor Burden</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Adrenalectomy</term>
<term>Laparoscopy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Adrenal Gland Neoplasms</term>
<term>Pheochromocytoma</term>
<term>Retroperitoneal Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Conversion to Open Surgery</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Adrenal Gland Neoplasms</term>
<term>Pheochromocytoma</term>
<term>Retroperitoneal Neoplasms</term>
<term>Retroperitoneal Space</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Blood Loss, Surgical</term>
<term>Body Mass Index</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
<term>Tumor Burden</term>
<term>Young Adult</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate the safety and efficacy of retroperitoneal laparoscopic resection in patients with pheochromocytoma in a retrospective study.</div>
</front>
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<PMID Version="1">25208805</PMID>
<DateCreated>
<Year>2015</Year>
<Month>7</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>04</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>7</Month>
<Day>23</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1433-8726</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>33</Volume>
<Issue>8</Issue>
<PubDate>
<Year>2015</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>World journal of urology</Title>
<ISOAbbreviation>World J Urol</ISOAbbreviation>
</Journal>
<ArticleTitle>Ten year experience of retroperitoneal laparoscopic resection for pheochromocytomas: A dual-centre study of 72 cases.</ArticleTitle>
<Pagination>
<MedlinePgn>1103-7</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00345-014-1397-z</ELocationID>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the safety and efficacy of retroperitoneal laparoscopic resection in patients with pheochromocytoma in a retrospective study.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Clinical data of patients with adrenal and extra-adrenal pheochromocytomas, operated on between September 1998 and September 2008 at two institutions, including information on patient demographics, surgical procedure, complications and hospital stay were retrieved.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Seventy-two retroperitoneal laparoscopic resections were performed (68 patients, 30 males/38 females). Mean age was 51.4 years (15-87 years). Four patients had a bilateral pheochromocytoma. Median BMI was 27 kg/m(2) (interquartile range 23-29). Mean tumour diameter was 4.6 cm (1.3-9). Thirteen patients had a tumour >6 cm. Mean operation time was 110 min (40-210), and median blood loss during surgery was 160 ml (0-1200 ml). Duration of surgery significantly increased with BMI (p = 0.004) and tumour size (p = 0.004). Four patients required conversion to open surgery (two bleeding, one severe adhesion to inferior vena cava and one renal artery aneurysm). Five patients required a blood transfusion with minor postoperative complications in three patients. Major perioperative haemodynamic variations (systolic blood pressure > 180 mmHg, diastolic blood pressure < 70 mmHg) were observed in 54 % of patients, 30 % required postoperative adrenergic drug treatment. The only predictive factor of a perioperative haemodynamic complication was the high level of normetanephrine in the preoperative blood samples. The median postoperative hospital stay was 4.5 days. Blood loss, postoperative complication and postoperative hospital stay did not increase in patients with tumours >6 cm.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Retroperitoneal laparoscopic surgery for pheochromocytoma is reproducible, safe and effective.</AbstractText>
</Abstract>
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<LastName>de Fourmestraux</LastName>
<ForeName>Aude</ForeName>
<Initials>A</Initials>
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<Affiliation>Service d'Urologie, Groupe Hospitalier du Havre, Hôpital Jacques Monod, BP 24, 76083, Le Havre, France, defourmestrauxaude@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Salomon</LastName>
<ForeName>Laurent</ForeName>
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<ForeName>Claude-Clément</ForeName>
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<LastName>Grise</LastName>
<ForeName>Philippe</ForeName>
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<Language>ENG</Language>
<PublicationTypeList>
<PublicationType UI="D000068397">Clinical Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>Sep</Month>
<Day>11</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>Germany</Country>
<MedlineTA>World J Urol</MedlineTA>
<NlmUniqueID>8307716</NlmUniqueID>
<ISSNLinking>0724-4983</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
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<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000310" MajorTopicYN="N">Adrenal Gland Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D061887" MajorTopicYN="N">Conversion to Open Surgery</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D010535" MajorTopicYN="N">Laparoscopy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D010673" MajorTopicYN="N">Pheochromocytoma</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012186" MajorTopicYN="N">Retroperitoneal Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading>
<DescriptorName UI="D012187" MajorTopicYN="N">Retroperitoneal Space</DescriptorName>
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<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<DescriptorName UI="D047368" MajorTopicYN="N">Tumor Burden</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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