Laparoscopic Surgery for Pheochromocytoma in Hemodialysis Patients
Objectives. We analyzed the clinical outcomes of laparoscopic adrenalectomy for pheochromocytomas in hemodialysis compared with nonhemodialysis patients. Methods. Fifty-seven patients (7 hemodialysis and 50 nonhemodialysis) were included in the study. We analyzed the differences in clinical paramete...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2022/3060647 |
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| author | Shuichi Tatarano Akihiko Mitsuke Takashi Sakaguchi Ryosuke Matsushita Satoru Inoguchi Hirofumi Yoshino Hiroaki Nishimura Yasutoshi Yamada Hideki Enokida |
| author_facet | Shuichi Tatarano Akihiko Mitsuke Takashi Sakaguchi Ryosuke Matsushita Satoru Inoguchi Hirofumi Yoshino Hiroaki Nishimura Yasutoshi Yamada Hideki Enokida |
| author_sort | Shuichi Tatarano |
| collection | DOAJ |
| description | Objectives. We analyzed the clinical outcomes of laparoscopic adrenalectomy for pheochromocytomas in hemodialysis compared with nonhemodialysis patients. Methods. Fifty-seven patients (7 hemodialysis and 50 nonhemodialysis) were included in the study. We analyzed the differences in clinical parameters and outcomes between the hemodialysis patient groups and nonhemodialysis patient groups as well as identified predictors for an intraoperative hypertensive spike. Results. The increasing intravascular volume before surgery in hemodialysis patients made perioperative hemodynamic management safer. No significant difference in clinical parameters between the two groups was observed except for the length of hospitalization that was significantly longer in the hemodialysis patients (9 vs. 6 days, P=0.005). An increase in systolic blood pressure at CO2 insufflation was an independent predictor of a hypertensive spike with a cutoff value of 22.5 mmHg (odds ratio 1.038, 95% confidence interval 1.012–1.078). Conclusion. Laparoscopic adrenalectomy for pheochromocytomas in hemodialysis was safe and feasible. An increase in systolic blood pressure at CO2 insufflation was a predictor of the intraoperative hypertensive spike. The research in this manuscript is not registered. This is a retrospective study. |
| format | Article |
| id | doaj-art-33302faac0b34a6192c09422643ac2b4 |
| institution | Kabale University |
| issn | 2090-2158 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-33302faac0b34a6192c09422643ac2b42025-02-03T06:04:45ZengWileyInternational Journal of Nephrology2090-21582022-01-01202210.1155/2022/3060647Laparoscopic Surgery for Pheochromocytoma in Hemodialysis PatientsShuichi Tatarano0Akihiko Mitsuke1Takashi Sakaguchi2Ryosuke Matsushita3Satoru Inoguchi4Hirofumi Yoshino5Hiroaki Nishimura6Yasutoshi Yamada7Hideki Enokida8Department of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyObjectives. We analyzed the clinical outcomes of laparoscopic adrenalectomy for pheochromocytomas in hemodialysis compared with nonhemodialysis patients. Methods. Fifty-seven patients (7 hemodialysis and 50 nonhemodialysis) were included in the study. We analyzed the differences in clinical parameters and outcomes between the hemodialysis patient groups and nonhemodialysis patient groups as well as identified predictors for an intraoperative hypertensive spike. Results. The increasing intravascular volume before surgery in hemodialysis patients made perioperative hemodynamic management safer. No significant difference in clinical parameters between the two groups was observed except for the length of hospitalization that was significantly longer in the hemodialysis patients (9 vs. 6 days, P=0.005). An increase in systolic blood pressure at CO2 insufflation was an independent predictor of a hypertensive spike with a cutoff value of 22.5 mmHg (odds ratio 1.038, 95% confidence interval 1.012–1.078). Conclusion. Laparoscopic adrenalectomy for pheochromocytomas in hemodialysis was safe and feasible. An increase in systolic blood pressure at CO2 insufflation was a predictor of the intraoperative hypertensive spike. The research in this manuscript is not registered. This is a retrospective study.http://dx.doi.org/10.1155/2022/3060647 |
| spellingShingle | Shuichi Tatarano Akihiko Mitsuke Takashi Sakaguchi Ryosuke Matsushita Satoru Inoguchi Hirofumi Yoshino Hiroaki Nishimura Yasutoshi Yamada Hideki Enokida Laparoscopic Surgery for Pheochromocytoma in Hemodialysis Patients International Journal of Nephrology |
| title | Laparoscopic Surgery for Pheochromocytoma in Hemodialysis Patients |
| title_full | Laparoscopic Surgery for Pheochromocytoma in Hemodialysis Patients |
| title_fullStr | Laparoscopic Surgery for Pheochromocytoma in Hemodialysis Patients |
| title_full_unstemmed | Laparoscopic Surgery for Pheochromocytoma in Hemodialysis Patients |
| title_short | Laparoscopic Surgery for Pheochromocytoma in Hemodialysis Patients |
| title_sort | laparoscopic surgery for pheochromocytoma in hemodialysis patients |
| url | http://dx.doi.org/10.1155/2022/3060647 |
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