Publications by authors named "J F Langenhuijsen"
Objective: Hereditary pheochromocytoma (hPCC) commonly develops bilaterally, causing adrenal insufficiency when standard treatment, radical adrenalectomy (RA), is performed. Partial adrenalectomy (PA) aims to preserve adrenal function, but with higher recurrence rates. This study compares outcomes of PA versus RA in hPCC.
View Article and Find Full Text PDFBackground: Posterior retroperitoneoscopic adrenalectomy has several advantages over transabdominal laparoscopic adrenalectomy regarding operating time, blood loss, postoperative pain, and recovery. However, postoperatively several patients report chronic pain or hypoesthesia. We hypothesized that these symptoms may be the result of damage to the subcostal nerve, because it passes the surgical area.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the factors leading to missed presurgical diagnoses of paragangliomas of the urinary bladder (UBPGLs), rare neuroendocrine tumors that pose diagnostic challenges.
- Out of 124 patients analyzed from multiple regions, only about 47.6% were diagnosed before surgery, with those diagnosed earlier being younger and having larger tumors.
- Key symptoms like micturition spells, hypertension, and sweating were found to significantly increase the likelihood of early biochemical testing, suggesting they could help establish timely diagnoses.
Purpose: No data exist on perioperative strategies for enhancing recovery after posterior retroperitoneoscopic adrenalectomy (PRA). Our objective was to determine whether a multimodality adrenal fast-track and enhanced recovery (AFTER) protocol for PRA can reduce recovery time, improve patient satisfaction and maintain safety.
Methods: Thirty primary aldosteronism patients were included.
Background: This study assessed the feasibility of acquiring single-attempt access to the pelvicalyceal system during percutaneous nephrolithotomy (PCNL) using stereotactic optical navigation combined with cone-beam CT (CBCT) imaging.
Methods: Patients with a PCNL indication were prospectively included in this IRB approved study. After sterile preparation, fiducial markers were attached to patients' skin.