جهت دسترسی به کاربرگه ی زیر، از این لینک استفاده کنید. http://78.39.227.9/handle/Hannan/119539
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dc.contributor.authorWorrest, Tarin C.en_US
dc.contributor.authorGilbert, Erin W.en_US
dc.contributor.authorSheppard, Brett C.en_US
dc.date.accessioned2013en_US
dc.date.accessioned2020-08-23T17:40:47Z-
dc.date.available2020-08-23T17:40:47Z-
dc.date.issued2019en_US
dc.identifier.other10.1016/j.amjsurg.2019.03.016en_US
dc.identifier.urihttps://doi.org/10.1016/j.amjsurg.2019.03.016en_US
dc.identifier.urihttp://78.39.227.9/handle/Hannan/119539-
dc.descriptionen_US
dc.descriptionen_US
dc.description.abstractBackground: 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.en_US
dc.format.extentVOLUME:217en_US
dc.format.extentISSUE:5en_US
dc.format.extentSTARTPAGE:967en_US
dc.format.extentENDPAGES:969en_US
dc.publisherElsevier Inc.en_US
dc.relation.haspart2019 AJoS Volume 217 Issue 5 May (28).pdfen_US
dc.titlePheochromocytoma: 20 years of improving surgical careen_US
dc.typeArticleen_US
dc.journal.volumeVolume 217en_US
dc.journal.issueIssue 5en_US
dc.journal.monthMayen_US
dc.journal.titleAmerican Journal of Surgeryen_US
Appears in Collections:American Journal of Surgery 2019

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تمامی کاربرگه ها در کتابخانه ی دیجیتال حنان به صورت کامل محافظت می شوند.