Laparoscopic resection of large adrenal tumors.


BACKGROUND:The maximum size of adrenal tumors that should be removed with a laparoscopic approach is controversial. It has been suggested that laparoscopic adrenalectomy is appropriate only for adrenal tumors < 6 cm in size. We report our experience with laparoscopic adrenalectomy in patients with adrenal tumors of > or =6 cm compared with patients with smaller tumors. METHODS:We retrospectively reviewed a consecutive series of patients who had a laparoscopic adrenalectomy. Patients were considered candidates for laparoscopic adrenalectomy if their computed tomography (CT) scan showed a well-encapsulated tumor confined to the adrenal gland. RESULTS:Sixty laparoscopic adrenalectomies were performed in 53 patients. Twelve of the adrenalectomies (20%) were for tumors that were > or =6 cm (median, 8 cm; range, 6 to 12 cm). There have been no local or regional recurrences, but one patient with adrenocortical carcinoma developed pulmonary metastases. When the 12 patients with large tumors were compared with the 36 patients with tumors < 6 cm, the median operative time (190 vs. 180 minutes; P =.32), operative blood loss (100 vs. 50 mL; P =.53), and postoperative hospital stay (2 vs. 2 days; P = 1.0) were similar. CONCLUSIONS:The size of an adrenal tumor should not be the primary factor in determining whether a laparoscopic adrenalectomy should be performed. Large adrenal tumors that are confined to the adrenal gland on CT can be removed with a laparoscopic approach.


Ann Surg Oncol


MacGillivray DC,Whalen GF,Malchoff CD,Oppenheim DS,Shichman SJ





Has Abstract


2002-06-01 00:00:00












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    abstract:BACKGROUND:Various patient, treatment, and pathologic factors have been associated with an increased risk of local recurrence (LR) following breast-conserving therapy (BCT) for ductal carcinoma in situ (DCIS). However, the strength and importance of individual factors has varied; whether combining factors improves pred...

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    pub_type: 杂志文章


    authors: Collins LC,Achacoso N,Haque R,Nekhlyudov L,Quesenberry CP Jr,Schnitt SJ,Habel LA,Fletcher SW

    更新日期:2015-12-01 00:00:00

  • Visceral obesity may affect oncologic outcome in patients with colorectal cancer.

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    journal_title:Annals of surgical oncology

    pub_type: 杂志文章


    authors: Moon HG,Ju YT,Jeong CY,Jung EJ,Lee YJ,Hong SC,Ha WS,Park ST,Choi SK

    更新日期:2008-07-01 00:00:00

  • OncotypeDX Recurrence Score Does Not Predict Nodal Burden in Clinically Node Negative Breast Cancer Patients.

    abstract:BACKGROUND:OncotypeDX recurrence score (RS)® has been found to predict recurrence and disease-free survival in patients with node negative breast cancer. Whether RS is useful in guiding locoregional therapy decisions is unclear. We sought to evaluate the relationship between RS and lymph node burden. METHODS:Patients ...

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    pub_type: 杂志文章


    authors: Tevis SE,Bassett R,Bedrosian I,Barcenas CH,Black DM,Caudle AS,DeSnyder SM,Fitzsullivan E,Hunt KK,Kuerer HM,Lucci A,Meric-Bernstam F,Mittendorf EA,Park K,Teshome M,Thompson AM,Hwang RF

    更新日期:2019-03-01 00:00:00

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    abstract:: ...

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    authors: Haas RL,Szkandera J

    更新日期:2018-12-01 00:00:00

  • Morbidity associated with colostomy reversal after cytoreductive surgery and HIPEC.

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    更新日期:2014-03-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


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    更新日期:2004-03-01 00:00:00

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    更新日期:2015-11-01 00:00:00

  • Survival Impact of Stations of Pathological Lymph Nodes in N2 Non-small Cell Lung Cancer in a French Hospital.

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    authors: Clément-Duchêne C,Luc A,Casse JM,Vignaud JM,Lacomme S,Anne V,Siat J,Ménard O,Martinet Y

    更新日期:2018-05-01 00:00:00

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    更新日期:2006-06-01 00:00:00

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    journal_title:Annals of surgical oncology

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    更新日期:2020-03-01 00:00:00

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    pub_type: 杂志文章,多中心研究


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    更新日期:2019-10-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2011-07-01 00:00:00

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    pub_type: 杂志文章


    authors: Govindarajan A,Reidy D,Weiser MR,Paty PB,Temple LK,Guillem JG,Saltz LB,Wong WD,Nash GM

    更新日期:2011-12-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2011-09-01 00:00:00

  • Clinical Significance of Gross Invasion of Strap Muscles in Patients With 1- to 4-cm-Sized Papillary Thyroid Carcinoma Undergoing Lobectomy.

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  • KRAS Mutation Status Dictates Optimal Surgical Margin Width in Patients Undergoing Resection of Colorectal Liver Metastases.

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    pub_type: 杂志文章


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    pub_type: 杂志文章


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    更新日期:2019-12-01 00:00:00

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    journal_title:Annals of surgical oncology

    pub_type: 杂志文章


    authors: Raber BM,Lin H,Shen Y,Shaitelman SF,Bedrosian I

    更新日期:2019-12-01 00:00:00

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    journal_title:Annals of surgical oncology

    pub_type: 杂志文章


    authors: Skinner KA,Silberman H,Sposto R,Silverstein MJ

    更新日期:2001-10-01 00:00:00

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    journal_title:Annals of surgical oncology

    pub_type: 临床试验,杂志文章


    authors: Kroll SS,Miller MJ,Schusterman MA,Reece GP,Singletary SE,Ames F

    更新日期:1994-11-01 00:00:00

  • Clinical features and outcome of primary pancreatic lymphoma.

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    journal_title:Annals of surgical oncology

    pub_type: 杂志文章


    authors: Sadot E,Yahalom J,Do RK,Teruya-Feldstein J,Allen PJ,Gönen M,D'Angelica MI,Kingham TP,Jarnagin WR,DeMatteo RP

    更新日期:2015-04-01 00:00:00