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Langenbeck's Archives of Surgery

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01-02-2012 | Systematic Review and Meta-analysis

Adrenocortical carcinoma: which surgical approach?

Author: Bruno Carnaille

Published in: Langenbeck's Archives of Surgery | Issue 2/2012

Abstract

Introduction

There are no randomised studies comparing open and laparoscopic approaches foradrenalectomy in patients with adrenal cortical carcinoma.

Methods

There is evidence of postoperative benefit for the patients undergoing laparoscopic adrenalectomy compared to open adrenalectomy (level B).

Results

Results from comparison of oncological outcomes in ACC between open and laparoscopic approaches are equivocal: increasedrisk of local recurrence and peritoneal carcinomatosis by the laparoscopic route (level D), and identical results between the two approaches in terms of survival, recurrence and peritoneal carcinomatosis (level C).

Conclusion

An open approach is recommended in case of local invasion, with a view to achieving an R0 resection (level D). Laparoscopic resection of ACC/potentially malignant tumours, which includes removal of surrounding periadrenal fat and results in an R0 resection without tumour capsule rupture, may be performed for preoperative and intraoperative stage 1–2 ACC and tumours with a diameter < 10 cm (level C).

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Title: Adrenocortical carcinoma: which surgical approach?
Author: Bruno Carnaille
Publication date: 01-02-2012
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 2/2012
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-011-0852-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Adrenocortical carcinoma: which surgical approach?

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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