Survival outcomes following adrenalectomy for isolated metastases to the adrenal gland

Publication date: Available online 4 January 2019Source: European Journal of Surgical OncologyAuthor(s): Jason Ramsingh, Patrick O'Dwyer, Carol WatsonAbstractBackgroundAdrenal metastases can arise from different primary sites. Surgical resection of the adrenal gland in patients with isolated metastases may offer improved survival in many of these patients. However, the benefit of surgery in this heterogenous group is often disputed. The aim of this study was to identify patients undergoing adrenalectomy for isolated metastases and to describe survival outcomes based on origin of the primary malignancy.MethodsPatients undergoing surgery for isolated adrenal metastases were retrospectively analysed from a prospectively kept database. Data collected included the age of the patient, gender, size and functional status of the tumour and the site of the primary malignancy. Overall survival and survival based on the primary tumour were calculated using Kaplan-Meier survival analyses.Results42 patients were included for analysis. The median tumour size was 40 mm. 91% (n = 38) of operations were performed laparoscopically. Metastases were from the following primary organs: kidney (n = 22), lung (n = 11), breast (n = 2), gastric (n = 1), skin (n = 3), liver (n = 2) and neuroendocrine (n = 1). Overall median survival was 56 (19–93) months with 95% of patients followed up for>6 months. There was a significant difference in median survival between...
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research

Related Links:

Conclusion: Closer examination of the equity of VA gynecology care and ways in which the VA can work to ensure equitable care for all women veterans is necessary.
Source: Medical Care - Category: Health Management Tags: Original Articles Source Type: research
Condition:   Gastric Cancer Intervention:   Procedure: lappg Sponsor:   RenJi Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
We present a case of a baby born at 29 weeks gestation, who after stooling normally for several weeks, developed a large bowel obstruction on day of life (DOL) 34. The patient underwent surgical resection of an abnormal span of sigmoid colon and creation of a colostomy. The patient did well post-operatively, had early ostomy function on post operative day (POD) 2, and was discharged home. He returned for a laparoscopic-assisted completion proctectomy and Soave endorectal pull-through. He was discharged home on POD4. He continues to do well.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
ConclusionMesenteric cysts represent a rare cause of intra-abdominal mass. Owing to low prevalence, literature is limited as is guidance on management. Careful pre-operative planning is essential so as to avoid operative complications. Imaging such as USS is of great importance; however Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) may be of more benefit, owing to the complex anatomical relations within which mesenteric cysts can present. Surgical excision is widely reported as the surgical treatment of choice for symptomatic cysts
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionA neuroendocrine neoplasm of the gallbladder may closely resemble a benign paraganglion. If a NET is suspected, the clinician should be aware of the histopathologic mimicry of a paraganglion prior to initiating additional treatments.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionAlthough Meckel’s diverticulitis is a rare entity, it can appear as an acute abdomen. An early diagnosis and treatment to prevent subsequent complications is essential to ensure an optimal recovery.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Condition:   Gastric Cancer Intervention:   Procedure: lappg Sponsor:   RenJi Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSION: SIL is a laparoscopic technique that can safely be offered to patients presenting abdominal diseases. The main advantages include enhanced cosmetic results and reduced abdominal trauma. The main disadvantages are patient selection, a longer operative time for some procedures, and a need to expose the operative field for some other procedures. PMID: 31710087 [PubMed - in process]
Source: Surgical Technology International - Category: Surgery Tags: Surg Technol Int Source Type: research
(Vanderbilt University Medical Center) Even a minor surgery such as a laparoscopic gallbladder removal can prove to be a high-risk and even fatal procedure for frail patients, according to new research published in JAMA Surgery.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
Publication date: Available online 11 November 2019Source: The American Journal of SurgeryAuthor(s): Jennie Meier, Sergio Huerta
Source: The American Journal of Surgery - Category: Surgery Source Type: research
More News: Brain | Cancer & Oncology | Databases & Libraries | Gastroenterology | Laparoscopy | Liver | Neurology | Neurosurgery | Skin | Study | Surgery | Urology & Nephrology