جهت دسترسی به کاربرگه ی زیر، از این لینک استفاده کنید. http://78.39.227.9/handle/Hannan/119539
Title: Pheochromocytoma: 20 years of improving surgical care
Authors: Worrest, Tarin C.;Gilbert, Erin W.;Sheppard, Brett C.
Issue Date: 2019
Publisher: Elsevier Inc.
Abstract: Background: Laparoscopic adrenalectomy is now the standard for pheochromocytoma. We report two decades of institutional experience with pheochromocytoma adrenalectomy. Methods: A retrospective review was undertaken of pheochromocytoma adrenalectomy patients between 1997 and 2017. Clinical variables and postoperative complications were recorded. Patients were divided into quartiles for analysis: group 1 from 1997 to 2001, group 2 from 2002 to 2006, group 3 from 2007 to 2011, and group 4 from 2012 to 2017. Results: Eighty-two pheochromocytoma adrenalectomies were identified. The percentage of laparoscopic adrenalectomies increased over time: 60% in group 1–87.5% in group 4 (p = 0.03). The average tumor size decreased: 6.4 cm (2.8–14.3 cm) in group 1–4.6 cm (1.2–7.8 cm) in group 4 (p = 0.03). ICU utilization decreased from 80% to 40.6% (p = 0.03) and length of stay decreased from 7.2 days to 2.7 days (p = 0.005). Clavien-Dindo grade>3 complications did not differ between the quartiles (p = 0.08). Conclusion: Pheochromocytoma care has evolved from more open procedures with standard postoperative ICU stay to a laparoscopic resection with targeted ICU care and decreased length of stay. As experience with laparoscopic adrenalectomy increases, patient outcomes improve.
Description: 
URI: https://doi.org/10.1016/j.amjsurg.2019.03.016
http://78.39.227.9/handle/Hannan/119539
???metadata.dc.journal.volume???: Volume 217
???metadata.dc.journal.issue???: Issue 5
???metadata.dc.journal.month???: May
Format: VOLUME:217
ISSUE:5
STARTPAGE:967
ENDPAGES:969
Appears in Collections:American Journal of Surgery 2019

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