Management of Patients with Treatment of Pheochromocytoma: A Critical Appraisal.
adrenalectomy
alpha blockade
intraoperative hemodynamic instability
management of pheochromocytoma
mini-invasive surgery
pheochromocytoma
preoperative medical preparation
Journal
Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829
Informations de publication
Date de publication:
09 Aug 2022
09 Aug 2022
Historique:
received:
11
07
2022
revised:
27
07
2022
accepted:
04
08
2022
entrez:
26
8
2022
pubmed:
27
8
2022
medline:
27
8
2022
Statut:
epublish
Résumé
The management of pheochromocytomas has significantly evolved these last 50 years, especially with the emergence of new technologies such as laparoscopic procedures in the 1990s. A preoperative blockade using antihypertensive medications to prevent intraoperative hemodynamic instability and cardiocirculatory events is recommended by current clinical guidelines. However, these guidelines are still based on former experiences and are subject to discussion in the scientific community. The aim of this systematic review was to assess the evolution of the management of pheochromocytomas. Laparoscopic procedure is established as the standard of care in current practices. Preoperative medical preparation should be questioned because it does not significantly improve intraoperative events or the risk of postoperative complications in current clinical practice. Current clinical recommendations should be revised and upgraded to current clinical practices.
Identifiants
pubmed: 36010839
pii: cancers14163845
doi: 10.3390/cancers14163845
pmc: PMC9405588
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
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