Cited 14 times in
Hemodynamic stability during adrenalectomy for pheochromocytoma: A case control study of posterior retroperitoneal vs lateral transperitoneal approaches
DC Field | Value | Language |
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dc.contributor.author | 강상욱 | - |
dc.contributor.author | 남기현 | - |
dc.contributor.author | 반은정 | - |
dc.contributor.author | 이잔디 | - |
dc.contributor.author | 이초록 | - |
dc.contributor.author | 정웅윤 | - |
dc.contributor.author | 정종주 | - |
dc.date.accessioned | 2020-04-13T17:03:36Z | - |
dc.date.available | 2020-04-13T17:03:36Z | - |
dc.date.issued | 2020 | - |
dc.identifier.issn | 0025-7974 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/175629 | - |
dc.description.abstract | Hemodynamic stability is one of the most critical aspects of adrenal surgery for pheochromocytoma. Few articles have evaluated the hemodynamic status of patients undergoing posterior retroperitoneal adrenalectomy (PRA) for pheochromocytoma. The aim of this study is to compare the intraoperative hemodynamic parameters between lateral transperitoneal adrenalectomy (TPA) and PRA in this groups of patients.This report describes a retrospective study of 53 pheochromocytoma patients who underwent endoscopic adrenalectomy via transperitoneal (22 patients) or posterior retroperitoneal (31 patients) approaches from January 2008 to March 2015. Data from these patients were compared to investigate the differences in hemodynamic parameters between the 2 approaches.Clinical parameters at presentation were similar between the 2 groups, except for tumor size, which was larger in the TPA group. The PRA group is associated with reduced operative time, blood loss, and length of hospital stay compared to TPA even after adjusting for the tumor size. There was greater BP fluctuations and higher maximum systolic and diastolic blood pressure (BP) within the TPA group compared to PRA during univariate analysis. This was however not significant after adjusting for tumor size. There was no difference in the intraoperative inotropic support requirement between the 2 groups.PRA is associated with stable intraoperative hemodynamic status, as well as favorable perioperative outcomes compared to TPA in patients with small pheochromocytomas. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adrenal Gland Neoplasms/pathology | - |
dc.subject.MESH | Adrenal Gland Neoplasms/surgery* | - |
dc.subject.MESH | Adrenalectomy/methods* | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Blood Loss, Surgical/statistics & numerical data | - |
dc.subject.MESH | Blood Pressure | - |
dc.subject.MESH | Case-Control Studies | - |
dc.subject.MESH | Endoscopy | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Length of Stay/statistics & numerical data | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Operative Time | - |
dc.subject.MESH | Pheochromocytoma/pathology | - |
dc.subject.MESH | Pheochromocytoma/surgery* | - |
dc.subject.MESH | Retroperitoneal Space/surgery | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | Hemodynamic stability during adrenalectomy for pheochromocytoma: A case control study of posterior retroperitoneal vs lateral transperitoneal approaches | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Eun Jeong Ban | - |
dc.contributor.googleauthor | Zeng Yap | - |
dc.contributor.googleauthor | Emad Kandil | - |
dc.contributor.googleauthor | Cho Rok Lee | - |
dc.contributor.googleauthor | Sang-Wook Kang | - |
dc.contributor.googleauthor | Jandee Lee | - |
dc.contributor.googleauthor | Jong Ju Jeong | - |
dc.contributor.googleauthor | Kee-Hyun Nam | - |
dc.contributor.googleauthor | Woong Youn Chung | - |
dc.identifier.doi | 10.1097/MD.0000000000019104 | - |
dc.contributor.localId | A00032 | - |
dc.contributor.localId | A01245 | - |
dc.contributor.localId | A01782 | - |
dc.contributor.localId | A03066 | - |
dc.contributor.localId | A03256 | - |
dc.contributor.localId | A03674 | - |
dc.contributor.localId | A03722 | - |
dc.relation.journalcode | J02214 | - |
dc.identifier.eissn | 1536-5964 | - |
dc.identifier.pmid | 32049819 | - |
dc.contributor.alternativeName | Kang, Sang Wook | - |
dc.contributor.affiliatedAuthor | 강상욱 | - |
dc.contributor.affiliatedAuthor | 남기현 | - |
dc.contributor.affiliatedAuthor | 반은정 | - |
dc.contributor.affiliatedAuthor | 이잔디 | - |
dc.contributor.affiliatedAuthor | 이초록 | - |
dc.contributor.affiliatedAuthor | 정웅윤 | - |
dc.contributor.affiliatedAuthor | 정종주 | - |
dc.citation.volume | 99 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | e19104 | - |
dc.identifier.bibliographicCitation | MEDICINE, Vol.99(7) : e19104, 2020 | - |
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