Which surgical approach is more favorable for pheochromocytoma of different sizes (< 6 cm vs. ≥ 6 cm)? A single retrospective center experience

World Journal of Surgical Oncology

Research

Yao Luo¹  Chenyang Wang²  Siyu Chen²  Li Yang²  Huabin Wang²  Shun Wan²  Kunpeng Li²  Xiaoran Li² 

[1] Department of Urology, Lanzhou University Second Hospital, 730000, Lanzhou, China;Department of Urology, Lanzhou University Second Hospital, 730000, Lanzhou, China;Gansu Province Clinical Research Center for Urology, 730000, Lanzhou, China;

关键词: Pheochromocytoma;    Laparoscopic adrenalectomy;    Lateral transperitoneal adrenalectomy;    Posterior retroperitoneoscopic adrenalectomy;    Different sizes;   

DOI  :  10.1186/s12957-023-03164-w

 received in 2023-06-15, accepted in 2023-08-26,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundTo compare the surgical effects of lateral transperitoneal approach (LTA) and posterior retroperitoneal approach (PRA) for pheochromocytoma of different sizes.MethodsData on patients with pheochromocytoma from 2014 to 2023 were collected from our hospital. According to different surgical approaches and tumor size, all patients were divided into four groups: tumor size < 6 cm for LTA and PRA and tumor size ≥ 6 cm for LTA and PRA. We compared these two surgical methods for pheochromocytoma of different sizes.ResultsA total of 118 patients with pheochromocytoma underwent successful laparoscopic surgery, including PRA group (n = 80) and LTA group (n = 38). In tumor size < 6 cm, the outcomes were no significant difference in LTA and PRA. In tumor size ≥ 6 cm, there was a significant difference in operation time (214.7 ± 18.9 vs. 154.3 ± 8.2, P = 0.007) and intraoperative blood loss (616.4 ± 181.3 vs. 201.4 ± 45.8, P = 0.037) between LTA and PRA.ConclusionLTA and PRA were performed safely with similar operative outcomes in patients with pheochromocytoma size < 6 cm. While both LTA and PRA were executed with a commendable safety profile and comparable operative results in patients afflicted by pheochromocytomas < 6 cm, the PRA technique distinctly showcased advantages when addressing large-scale pheochromocytomas (≥ 6 cm). Notably, this manifested in reduced operative time, diminished intraoperative blood loss, decreased hospitalization expenses, and a paucity of procedural complications.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023