Open versus endoscopic adrenalectomy in the treatment of localized (stage I/II) adrenocortical carcinoma: results of a multiinstitutional Italian survey
Open accessAbstract
Background We compared the oncologic effectiveness of open adrenalectomy and endoscopic adrenalectomy in the treatment of patients with localized adrenocortical carcinoma.Methods One hundred fifty-six patients with localized adrenocortical carcinoma (stage I/II) who underwent R0 resection were included in an Italian multiinstitutional surgical survey. They were divided into 2 groups based on the operative approach (either conventional or endoscopic).Results One hundred twenty-six patients underwent open adrenalectomy and 30 patients underwent endoscopic adrenalectomy. The 2 groups were well matched for age, sex, lesion size, and stage (P = NS). The mean follow-up time was similar for the 2 groups (P = NS). The local recurrence rate was 19% for open adrenalectomy and 21% for endoscopic adrenalectomy, whereas distant metastases were recorded in 31% of patients in the conventional adrenalectomy group and 17% in the endoscopic adrenalectomy group (P = NS). The mean time to recurrence was 27 ± 27 months in the conventional open adrenalectomy group and 29 ± 33 months in the endoscopic adrenalectomy group (P = NS). No significant differences were found between the 2 groups in terms of 5-year disease-free survival (38.3% vs 58.2%) and 5-year overall survival rates (48% vs 67%; P = NS).Conclusion The operative approach does not affect the oncologic outcome of patients with localized adrenocortical carcinoma, if the principles of surgical oncology are respected.
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- Authors
- Lombardi, C. P., Raffaelli, M., De Crea, C., Boniardi, M., De Toma, G., Marzano, L. A., Miccoli, P., Minni, F., Morino, M., Pelizzo, M. R., Pietrabissa, A., Renda, A., Valeri, A., & Bellantone, R.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT)
- Federico II University Hospital (IT)
- University of Pisa (IT)
- IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola (IT)
- University of Turin (IT)
- University of Padua (IT)
- University of Pavia (IT)
- Azienda Ospedaliero-Universitaria Careggi (IT)
- Corresponding author
- Raffaelli, Marco
- ORCID
- Venue
- Surgery
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 152
- Issue
- 6
- Pages
- 1158-1164
- ISSN
- 0039-6060 (ISSN-L)
- OpenAlex
- W2066193070
- Cited by
- 128
- References
- 26
- Citations by year
- 2025: 7 · 2024: 2 · 2023: 8 · 2022: 9 · 2021: 10 · 2020: 13 · 2019: 10 · 2018: 12 · 2017: 10 · 2016: 13 · 2015: 16 · 2014: 11 · 2013: 7
- FWCI
- 11.10
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Surgery (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal cell carcinoma treatment
- Health Sciences › Medicine › Epidemiology › Neuroendocrine Tumor Research Advances
- Keywords
- adrenocortical carcinoma, adrenalectomy, endoscopic adrenalectomy, open adrenalectomy, surgical oncology, local recurrence, distant metastasis, disease-free survival, overall survival, R0 resection
- MeSH terms
- Adrenal Cortex Neoplasms, Adrenalectomy, Aged, Female, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Laparoscopy, Postoperative Complications, Adrenocortical Carcinoma, Disease-Free Survival
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