[Laparoscopic adrenalectomy in pheochromocytomas].
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Adrenal Gland Neoplasms↗
Biomedical subjects
O Fercocq
Publications and source records attributed to O Fercocq.
[Comparative study between laparoscopic and conventional adrenalectomy for pheochromocytomas].
This prospective study compares the outcome of 2 groups of patients with pheochromocytoma undergoing adrenalectomy via a transabdominal approach or a laparoscopie approach. Mean operating time was exactly the same in both groups (122 and 125 minutes). Postoperative stay in the intensive care unit and in hospital was significantly shorter in the laparoscopic group as previously demonstrated fo other adrenal tumors. More important, no differences in haemodynamic changes were observed during surgery. In both groups, the increase of cathecholamine levels was identical, with a peak occuring during manipulation of tumors. Pneumoperitoneum was not responsible for any cardiovascular instability. Laparosopic adrenalectomy should therefore be preferred to open procedures in pheochromocytomas unless tumors are too large or potentially malignant.
Adrenal Gland Neoplasms↗
[Conservative treatment of splenic injuries in adults. Conservation or surgery?].
A preservative attitude towards splenic traumatism is globally no more discussed. But the best way to succeed for the general surgeon has to be precise: non operative either coeliotomy for preservative surgery? About 55 observations of splenic traumatisms, the authors compare advantages with drawback of each position and try to show out the factors acting on each choice to aim a preservative score the highest possible. Now the global preservative score is 47%. The non operative proceeding lead 5/12 to failure. 10 preservative surgery initially performed lead to 10 success: preservative surgery, in our hands give the best results. Preservative surgery for a greater number of cases, and mainly for polytraumatisms (or multiple contusions) for which the collaboration of surgeons from different specialties make more difficult, for more stratified, the supervision in case of non operative proceeding.
Abdominal Injuries↗