Side-specific Factors for Conversion in Adrenalectomy for Pheochromocytoma.

Zagazig University

Status: Completed

Conditions: Adrenal Tumor

Treatments: Procedure: laparoscopic right adrenalectomy

Study type: Observational

Funder types: Other

Identifiers

NCT06330558

pheos

Details and patient eligibility

About

Context: Adrenalectomy for pheochromocytoma (PHEO) poses difficulties due to the elevated chance of conversion. The objective of this study was to conduct a comparative analysis of the occurrence and determinants of conversion in left-sided abdominal laparoscopic adrenalectomy (LLA) and right-sided abdominal laparoscopic adrenalectomy (RLA).

Methods: A retrospective analysis was conducted to include a total of 271 patients diagnosed with PHEO. These patients were separated into two groups: LRA (N=121) and LLA (N=150). The study period spanned from September 2016 to September 2023.

Full description

The process of performing an adrenalectomy for pheochromocytoma (PHEO) is difficult due to the significant risk of conversion. The objective of this study was to conduct a comparative analysis of the occurrence and determinants of conversion in left-sided abdominal laparoscopic adrenalectomy (LLA) and right-sided abdominal laparoscopic adrenalectomy (RLA).

Methods: A retrospective analysis was conducted to include a total of 271 patients diagnosed with PHEO. These patients were separated into two groups: LRA (N=121) and LLA (N=150). The study period spanned from September 2016 to September 2023.

Enrollment: 271 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Unilateral pheochromocytoma of any size, over 18 years old, both males and females

Exclusion criteria

• Patients undergoing initial open adrenalectomy, - Additional surgical interventions during total laparoscopic adrenalectomy, - Partial adrenalectomy,

Bilateral PHEOS. Hemorrhagic diathesis, Structural deformity Pregnancy,

• Prior unilateral abdominal surgery, data is absent. The preoperative diagnosis is ambiguous. Hereditary (PHEO), or recurrent PHEO

Trial design

271 participants in 2 patient groups

group A

Description:

laparoscopic right adrenalectomy

Treatment:

Procedure: laparoscopic right adrenalectomy

Group B

Description:

laparoscopic left adrenalectomy

Treatment:

Procedure: laparoscopic right adrenalectomy