Laparoscopic or Open Adrenalectomy for Stage I-II Adrenocortical Carcinoma: A Retrospective Study.

adrenalectomy adrenocortical carcinoma laparoscopy

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
26 May 2023
Historique:
received: 13 04 2023
revised: 17 05 2023
accepted: 24 05 2023
medline: 10 6 2023
pubmed: 10 6 2023
entrez: 10 6 2023
Statut: epublish

Résumé

Surgical resection of adrenocortical carcinoma (ACC) is the only curative treatment. Even in localized (I-II) stages, open adrenalectomy (OA) is the gold standard, though laparoscopic adrenalectomy (LA) can be proposed in selected patients. Despite the postoperative benefits of LA, its role in the surgical management of patients with ACC remains controversial regarding oncologic outcomes. The aim of this retrospective study was to compare the outcomes of patients with localized ACC submitted to LA or OA in a referral center from 1995 to 2020. Among 180 consecutive patients operated on for ACC, 49 presented with localized ACC (19 LA and 30 OA). Baseline characteristics were similar between groups, except for tumor size. Kaplan-Meier estimates of 5-year overall survival were similar in both groups (

Identifiants

pubmed: 37297891
pii: jcm12113698
doi: 10.3390/jcm12113698
pmc: PMC10253560
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Martin Gaillard (M)

Department of Digestive, Hepatobiliary and Endocrine Surgery, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

Meva Razafinimanana (M)

Department of Digestive, Hepatobiliary and Endocrine Surgery, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

Alexandre Challine (A)

Department of Digestive Surgery, Hôpital Saint-Antoine, APHP.Sorbonne Université, 75012 Paris, France.

Raphael L C Araujo (RLC)

Department of Surgery, Hospital Israelita Albert Einstein, Universidade Federal de Sao Paulo, Sao Paulo 05652-900, Brazil.

Rossella Libé (R)

Department of Endocrinology, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

Mathilde Sibony (M)

Department of Pathology, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

Maxime Barat (M)

Department of Radiology, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

Jérôme Bertherat (J)

Department of Endocrinology, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

Bertrand Dousset (B)

Department of Digestive, Hepatobiliary and Endocrine Surgery, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

David Fuks (D)

Department of Digestive, Hepatobiliary and Endocrine Surgery, Hôpital Cochin, APHP.Centre, 75014 Paris, France.

Sebastien Gaujoux (S)

Department of Hepato-Biliary and Pancreatic Surgery and Liver Transplantation, Hôpital Pitié-Salpêtrière, APHP.Sorbonne Université, 75013 Paris, France.

Classifications MeSH