Management of Patients with Treatment of Pheochromocytoma: A Critical Appraisal.
Fiche publication
Date publication
août 2022
Journal
Cancers
Auteurs
Membres identifiés du Cancéropôle Est :
Dr GASMAN Stéphane
Tous les auteurs :
Bihain F, Nomine-Criqui C, Guerci P, Gasman S, Klein M, Brunaud L
Lien Pubmed
Résumé
The management of pheochromocytomas has significantly evolved these last 50 years, especially with the emergence of new technologies such as laparoscopic procedures in the 1990s. A preoperative blockade using antihypertensive medications to prevent intraoperative hemodynamic instability and cardiocirculatory events is recommended by current clinical guidelines. However, these guidelines are still based on former experiences and are subject to discussion in the scientific community. The aim of this systematic review was to assess the evolution of the management of pheochromocytomas. Laparoscopic procedure is established as the standard of care in current practices. Preoperative medical preparation should be questioned because it does not significantly improve intraoperative events or the risk of postoperative complications in current clinical practice. Current clinical recommendations should be revised and upgraded to current clinical practices.
Mots clés
adrenalectomy, alpha blockade, intraoperative hemodynamic instability, management of pheochromocytoma, mini-invasive surgery, pheochromocytoma, preoperative medical preparation
Référence
Cancers (Basel). 2022 08 9;14(16):