Objective: Assessment of criteria for videoscopic removal of adrenal lesions discovered incidentally.
Design: Open prospective study.
Subjects: 63 patients operated on for 65 adrenal tumours.
Outcome Measures: Relevance of proposed criteria: secreting adrenal lesion; diameter larger than 4 cm or increase in size at any re-evaluation; computed tomogram of intratumoral necrosis, haemorrhage, or irregular margins; high concentrations of dehydroepiandrosterone (DHEAS).
Results: Laparoscopic adrenalectomy was successful in 61 patients (97%). There were 4 minor complications. Criteria allowed us to identify correctly : phaeochromocytoma (n = 23), primary hyperaldosteronism (n = 18), Cushing's adenoma or disease (n = 7), single metastasis (n = 4), adenoma with DHEAS or cortisol hypersecretion (n = 3). 8 non-secreting incidental tumours (13%) were operated on.
Conclusion: Simple criteria for videoscopic adrenalectomy for lesions discovered incidentally allowed us to reduce the number of doubtful indications (positive predictive value 87%).
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/11024159950189555 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Arthroscopic approach in initial training: Study of a novice cohort using inverse direct and indirect approaches and its implication in the development of training programs.
Orthop Traumatol Surg Res
December 2023
Service de chirurgie orthopedique et traumatologique, Hôpital Bichat - Claude-Bernard, Paris, France.
Introduction: Arthroscopic training includes successive stages of observation, reproduction and then repetition. Learning through simulation in 2D virtual reality makes it possible to repeat these different stages to enhance the learner's experience in complete safety and a shorter timeframe. Some procedures require inversion of the optical and instrumental approaches in the axial plane, disrupting the existing psychomotor and technical skills.
View Article and Find Full Text PDFStarting a minimally invasive inguinal lymphadenectomy program: Initial learning experience and outcomes.
Surgery
March 2023
Spectrum Health Surgical Oncology, Grand Rapids, MI.
Background: There is promising data on minimally invasive inguinal lymphadenectomy indicating decreased wound complications compared with the standard open approach. We examined our institutional experience with starting a minimally invasive inguinal lymphadenectomy program.
Methods: This is a retrospective case series of consecutive patients undergoing videoscopic minimally invasive inguinal lymphadenectomy from August 2017 to March 2022 by a single surgeon.
Modern Cardiac Surgical Outcomes in Nonagenarians: A Multicentre Retrospective Observational Study.
Front Cardiovasc Med
July 2022
Department of Cardiac Surgery, Epworth Eastern Hospital, Melbourne, VIC, Australia.
Background: There have been multiple recent advancements in the selection, optimisation and management of patients undergoing cardiac surgery. However, there is limited data regarding the outcomes in nonagenarians, despite this cohort being increasingly referred for these interventions. The objective of this study was to describe the patient characteristics, management and outcomes of a cohort of nonagenarians undergoing cardiac surgery receiving contemporary peri-operative care.
View Article and Find Full Text PDFAn in vitro assessment of light intensity provided during direct laryngeal visualization by videolaryngoscopes with Macintosh geometry blades.
Can J Anaesth
December 2021
Department of Anesthesia, Pain Management and Perioperative Medicine, Halifax Infirmary Site, QEII Health Sciences Centre, Dalhousie University, 1796 Summer Street, Halifax, NS, Canada.
Background: Adequate illumination of the larynx is needed during laryngoscopy to facilitate tracheal intubation. The International Organization for Standardization (ISO) has established a minimum light intensity for direct laryngoscopy (DL) of over 500 lux for at least ten minutes, but no such standard exists for Macintosh geometry videolaryngoscope (Mac-VL) blades, which allow for both direct or indirect (videoscopic) viewing of the larynx. Using in situ bench and in vitro testing in a human cadaver, we determined illumination and luminance values delivered by various Mac-VLs and compared these with published minimum lighting benchmarks as well as a reference direct laryngoscope.
View Article and Find Full Text PDFIs SARS-CoV-2 present in the periodontium? A post-mortem study.
Evid Based Dent
January 2021
University of Liverpool, Liverpool, UK.
Aims To investigate the presence of SARS-CoV-2, the virus responsible for COVID-19 infection, in the periodontal tissues of deceased individuals with a positive SARS-CoV-2 nasopharyngeal swab test.Sample selection Seven deceased individuals, who were admitted to the intensive care unit of the Hospital das Clínicas of the Medicine School of Sao Paulo University for invasive mechanical ventilation following a positive nasopharyngeal COVID-19 test result, underwent a post-mortem examination. Individuals with comorbidities were included.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!