Comparison of robot-assisted retroperitoneal laparoscopic adrenalectomy versus retroperitoneal laparoscopic adrenalectomy for large pheochromocytoma: a single-centre retrospective study

Abstract Background To evaluate the feasibility and safety of robot-assisted retroperitoneal laparoscopic adrenalectomy (RARLA) for large pheochromocytomas (PHEOs; size≥6 cm) compared with retroperitoneal laparoscopic adrenalectomy (RLA). Methods Fifty-one patients who underwent adrenalectomy for large PHEOs between March 2016 and January 2019 were enrolled and divided into two groups, including 32 RLA cases and 19 RARLA cases. We compared the perioperative efficacy and long-term follow-up results between the two groups. Results Preoperative data, including demographics, comorbidities and tumour characteristics, were similar between the groups. Intraoperatively, the RARLA group had a lower incidence of haemodynamic instability (26.3% vs. 56.2%, P = 0.038) and less intraoperative blood loss (100 ml vs. Two hundred milliliter, P = 0.042) than the RLA group. The groups showed no significant differences in operative time or transfusion rates. Postoperatively, the time to diet resumption, time to ambulation, time to drainage removal and postoperative hospital stay were shorter in the RARLA group than in the RLA group (1 d vs. 2 d, P = 0.027; 1 d vs. 2 d, P = 0.034; 3 d vs. 5 d, P = 0.002; 5 d vs. 6 d, P = 0.02, respectively). The groups exhibited no significant differences in the duration of anaesthetic use, complications, or long-term follow-up results for the blood pressure (BP) improvement rate. Conclusions Compared with RLA, RARLA is a safe, feasible and even optimized procedure for large PHEOs.

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Dependence of the effectiveness of antiglaucomatous operations on the method of forming the conjunctival flap

Kazan medical journal ◽

10.17816/kazmj82733 ◽

1995 ◽

Vol 76 (1) ◽

pp. 61-61

Author(s):

N. H. Khasanova ◽

Z. G. Kamalov ◽

F. S. Amirova ◽

R. F. Akhmetshin

Keyword(s):

Conjunctival Flap ◽

Long Term Follow Up ◽

Intraocular Fluid ◽

Group 1

The influence of two methods of forming a conjunctival flap on the hypotensive efficiency of operations and the outflow of intraocular fluid in the long-term follow-up was studied. Operated on 2 groups of patients - 150 people (150 eyes). In group 1 (76 patients), operations were performed with an incision of the conjunctiva at the site of its attachment along the limbus for 5 - 6 mm, followed by its separation by 3 - 4 mm upward.

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Pheochromocytoma: a long-term follow-up of 24 patients undergoing laparoscopic adrenalectomy

International braz j urol ◽

10.1590/s1677-55382009000100005 ◽

2009 ◽

Vol 35 (1) ◽

pp. 24-35 ◽

Cited By ~ 9

Author(s):

Lísias N. Castilho ◽

Fabiano A. Simoes ◽

Andre M. Santos ◽

Tiago M. Rodrigues ◽

Carlos A. dos Santos Junior

Keyword(s):

Laparoscopic Adrenalectomy ◽

Long Term Follow Up

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Application of femtolaser-assisted phacoemulsification in combined pathology of cataract and glaucoma

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-2-18-21 ◽

2021 ◽

pp. 18-21

Author(s):

A.P. Voznyuk ◽

◽

S.I. Anisimov ◽

S.Y. Anisimova ◽

L.L. Arutyunyan ◽

...

Keyword(s):

Surgical Treatment ◽

Biomechanical Properties ◽

Mean Values ◽

Long Term Follow Up ◽

The Mean ◽

Group 2 ◽

Observation Period ◽

Group 1

Purpose. To evaluate the efficacy and safety of femtolaser-assisted phacoemulsification in glaucomatous eyes in the long-term follow-up. Materials and methods. A retrospective analysis of the results of the surgical treatment of patients with combined cataract and glaucoma pathology was analyzed. The patients were divided into groups depending on the method of surgical intervention: 1) phacoemulsification with femtolaser support (26 eyes, 23 patients); 2) phacoemulsification (36 eyes, 30 patients); Results. Before surgery, there were no statistically significant differences in IOP and corneal hysteresis (СН) between groups 1 and 2. The mean values of IOP cc, IOP g and СН of group 1 before surgery were 22.7±6.1 mm Hg, 20.9±6.9 mm Hg, 8.5±1.6 mm Hg; 2 group – 22.9±8.7 mm Hg, 21.6±8.9 mm Hg, 8.9±1.6 mm Hg respectively. Average values of IOP cc, IOP g and CН 5 years after the surgical treatment in group 1 were 15.3±1.2 mm Hg, 14.4±3.4 mm Hg, 9.6±4.2 mm Hg; in group 2 – 18.0±4.2 mm Hg, 16.1±4.2 mm Hg, 8.8±2.2 mm Hg respectively. In both groups, stabilization of IOP and CH indices was noted, which remained throughout the entire observation period, which shows the normalization of the biomechanical properties of the corneoscleral membrane of the eye in the long-term postoperative period. Conclusion. Femtolaser accompaniment of phacoemulsification is an effective and safe method of cataract surgery for combined pathology. Key words: femtolaser, cataract, glaucoma, phacoemulsification.

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Mitral Regurgitation: Comparison between Edge-to-Edge Repair and Valve Replacement

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230301100209 ◽

2003 ◽

Vol 11 (2) ◽

pp. 131-134 ◽

Cited By ~ 3

Author(s):

Jai Raman ◽

Pallav Shah ◽

Siven Seevanayagam ◽

John Cheung ◽

Brian Buxton

Keyword(s):

Mitral Regurgitation ◽

Valve Replacement ◽

Prosthetic Valve Endocarditis ◽

Early Death ◽

Bleeding Events ◽

Long Term Follow Up ◽

Group 2 ◽

Group 1

Mitral regurgitation due to bileaflet prolapse and ischemic causes can be difficult to repair. Midterm experience of the Alfieri edge-to-edge repair as an alternative to valve replacement is reported. Twenty-six patients with severe mitral regurgitation underwent the Alfieri repair between January 1998 and December 2000 (group 1); 15 cases were due to bileaflet prolapse and 7 were of ischemic origin. During the same period, valve replacement was performed in 36 patients (group 2), 20 of whom had similar indications. Follow-up was complete to a mean of 15 months (range, 1–28 months). There was no early death in either group. During follow-up, there was no reoperation in group 1, while 2 patients in group 2 required reoperations due to prosthetic valve endocarditis. There were 4 major thromboembolic or bleeding events in group 2, and none in group 1. All patients in group 1 had trivial to mild mitral regurgitation on follow-up echocardiography. The mean mitral valve gradient was significantly higher in group 2 compared to group 1 (7.2 versus 3.2 mm Hg, p = 0.001). The edge-to-edge repair is associated with good early and midterm results. Long-term follow-up is required to evaluate the durability of this technique.

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Laparoscopic adrenalectomy: 100 resections with clinical long-term follow-up

Surgical Endoscopy ◽

10.1007/s00464-004-8914-x ◽

2004 ◽

Vol 19 (3) ◽

pp. 379-385 ◽

Cited By ~ 21

Author(s):

B. K. Poulose ◽

M. D. Holzman ◽

O. B. Lao ◽

E. L. Grogan ◽

R. E. Goldstein

Keyword(s):

Laparoscopic Adrenalectomy ◽

Long Term Follow Up

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Three-dimensional printing in robot-assisted radical prostatectomy - an Idea, Development, Exploration, Assessment, Long-term follow-up (IDEAL) Phase 2a study

BJU International ◽

10.1111/bju.14189 ◽

2018 ◽

Vol 122 (3) ◽

pp. 360-361 ◽

Cited By ~ 17

Author(s):

Pankaj Chandak ◽

Nick Byrne ◽

Hugo Lynch ◽

Clare Allen ◽

Giles Rottenberg ◽

...

Keyword(s):

Radical Prostatectomy ◽

Three Dimensional ◽

Robot Assisted ◽

Three Dimensional Printing ◽

Long Term Follow Up ◽

Dimensional Printing

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Caiman Versus LigaSure Hemorrhoidectomy: Postoperative Pain, Early Complications, Long-Term Follow-up, and Costs

Surgical Innovation ◽

10.1177/1553350620908388 ◽

2020 ◽

Vol 27 (3) ◽

pp. 272-278

Author(s):

Chiara Eberspacher ◽

Pietro Mascagni ◽

Domenico Di Nardo ◽

Daniele Pironi ◽

Stefano Pontone ◽

...

Keyword(s):

Postoperative Pain ◽

Operative Time ◽

Healing Time ◽

Visual Analog Score ◽

Historical Cohort ◽

Long Term Follow Up ◽

Group A ◽

Group B

Purpose. Recently, the use of radiofrequency for hemorrhoidectomy has minimized incidence of postoperative complications. Effectiveness of LigaSure is demonstrated, but it is quite expensive. This study aims to compare LigaSure with Caiman, a cheaper instrument that uses radiofrequency for hemorrhoidectomy. Methods. A total of 35 patients were enrolled in this study between January 2015 and December 2017: 35 (Group A: Caiman) patients were matched with 35 control patients (Group B) from our historical cohort, treated with LigaSure. They were checked at 1 week after operation, at 4 weeks, and then after 2, 6, and 12 months. We considered different factors: intraoperative (operative time, number of piles removed, necessity of stiches or ligation), immediate postoperative (pain, bleeding within 4 weeks, incontinence, soiling within 4 weeks, healing time of anal wounds, return to working activities), and with a long-term follow-up. Results. There were no statistically significant differences between the 2 groups in analyzed intraoperative data: operative time (Group A 35 minutes vs Group B 33 minutes; P = .198) and stitches used. Postoperative data were comparable too, in particular pain (Group A 1 day Visual Analog Score = 6.25 vs Group B = 5.4, P = .178; Group A 1 week Visual Analog Score = 2.7 vs Group B = 1.14, P = .22) and bleeding (Group A = 2 vs Group B = 4; P = .2). Conclusions. According our initial experience, Caiman can be a safe and cheaper alternative to LigaSure for hemorrhoidectomy.

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Long-Term Outcome of Microendoscopic Diskectomy for Lumbar Disk Herniation. A Clinical Study of Consecutive 112 Cases with More than 5-Year Follow-Up

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0037-1598657 ◽

2017 ◽

Vol 78 (05) ◽

pp. 446-452 ◽

Cited By ~ 2

Author(s):

Noriyuki Iesato ◽

Yoshinori Terashima ◽

Katsumasa Tanimoto ◽

Tsuneo Takebayashi ◽

Toshihiko Yamashita ◽

...

Keyword(s):

Blood Loss ◽

Recurrence Rate ◽

Operative Time ◽

Clinical Results ◽

Improvement Rate ◽

Long Term Outcome ◽

Sf 36 ◽

The Mean

Background Clinical results and recurrence rate after microendoscopic diskectomy (MED) with long-term follow-up is still unclear, in spite of its relatively long history. Materials and Methods A total of 112 who underwent MED participated in this study. Operative time, blood loss, serum C-reactive protein (CRP), creatine kinase (CK), and visual analog scale (VAS) were evaluated as indexes of surgical invasiveness. The 36-Item Short Form Survey Instrument (SF-36), Japanese Orthopaedic Association (JOA) score, patient satisfaction, and recurrence were also evaluated with a follow-up of at least 5 years. Results The mean operative time was 86.7 minutes, and the mean blood loss was 35.7 mL. The mean CRP on postoperative day 3 and CK on the first postoperative day was 0.72 mg/dL and 224.6 IU/L, respectively, and VAS to assess surgical site pain on the first postoperative day was 24.9 mm on average. The improvement rate in the JOA score was 68.7%. The physical component summary of SF-36 in norm-based scoring was improved from 23.4 to 48.6. Overall, 90.8% of patients evaluated their response to the surgery as extremely satisfied or satisfied. The recurrence rate was 10.5%, and reoperation was performed in 7.9% of patients. Conclusions MED is a technique that offers both reduced invasiveness and good long-term clinical results.

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Total or less than total thyroidectomy for multinodular goiter long term follow-up

Medical Science and Discovery ◽

10.36472/msd.v8i3.515 ◽

2021 ◽

Vol 8 (3) ◽

pp. 181-186

Author(s):

Didem Dereli Akdeniz ◽

Gürkan Avcı

Keyword(s):

Total Thyroidectomy ◽

Multinodular Goiter ◽

Vocal Cord Palsy ◽

Long Term Follow Up ◽

Microsurgical Techniques ◽

Partial Thyroidectomy ◽

Group 2 ◽

Group 1

Objective: Multinodular goiter is a common surgical disease. There is no common consensus regarding the extent of thyroidectomy for multinodular goiter. This study aims to present personal experience on treating patients with multinodular goiter and to compare complication rates and results of total and partial thyroidectomy for multinodular goiter. Material and Method: Three hundred fifty patients underwent thyroidectomy for multinodular goiter between May 2003 and October 2010. All patients were diagnosed as multinodular goiter and were referred to surgery by one endocrinologist. All operations were also performed by one surgeon using microsurgical techniques. Partial thyroidectomy (bilateral subtotal or unilateral total thyroidectomy and contralateral subtotal thyroidectomy) was performed in 65 patients (Group-1) and extracapsular total thyroidectomy was performed in 285 patients (Group-2). All patients are being followed followed from the day they were diagnosed until now by the same endocrinologist. Fisher exact test was used for statistical analysis. Results: In Group-1, one patient had transient vocal-cord palsy and but none had hypoparathyroidism. On the other hand, in Group-2, two patients had transient vocal-cord palsy, five had hypocalcemia (one was permanent), and one had a hematoma. Mortality and wound infection were absent in both groups. The histopathological studies showed that 40 incidental thyroid carcinomas occurred among Group-2 patients. During long-term follow-up, 13 patients had goiter recurrence (n = 65, 20%) in Group-1, whereas none had goiter recurrence in Group-2. Conclusion: There were no statistically significant differences in the complication rate between subtotal and total thyroidectomy groups (p>0.05). However, the recurrence rate was higher (statistically significant) after subtotal thyroidectomy than after total thyroidectomy (p<0.05). Total thyroidectomy eliminated future recurrence of the disease and is also curative in incidental thyroid carcinomas. In addition, it can be safely performed using microsurgical techniques.

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