European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma

Marco Raffaelli, S. Gaujoux, R. Mihai, B. Carnaille, B. Dousset, C. Fiori, F. Porpiglia, P. Hellman, M. Iacobone, J. L. Kraimps, G. Donatini, J. Langenhuijsen, K. Lorenz, M. Mathonnet, E. Mirallié, C. Blanchard, E. Nieveen Van Dijkum, N. Rayes, F. Sébag, F. TriponezA. Valeri, J. Waldmann, F. Zinzindohoue

Risultato della ricerca: Contributo in rivistaArticolo in rivista

66 Citazioni (Scopus)

Abstract

Background: Radical surgery provides the best chance of cure for adrenocortical carcinoma (ACC), but perioperative surgical care for these patients is yet to be standardized. Methods: A working group appointed jointly by ENSAT and ESES used Delphi methodology to produce evidence-based recommendations for the perioperative surgical care of patients with ACC. Papers were retrieved from electronic databases. Evidence and recommendations were classified according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system, and were discussed until consensus was reached within the group. Results: Twenty-five recommendations for the perioperative surgical care of patients with ACC were formulated. The quality of evidence is low owing to the rarity of the disease and the lack of prospective surgical trials. Multi-institutional prospective cohort studies and prospective RCTs are urgently needed and should be strongly encouraged. Conclusion: The present evidence-based recommendations provide comprehensive advice on the optimal perioperative care for patients undergoing surgery for ACC.
Lingua originaleEnglish
pagine (da-a)358-376
Numero di pagine19
RivistaBritish Journal of Surgery
Volume104
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Adrenal Cortex Neoplasms
  • Adrenalectomy
  • Adrenocortical Carcinoma
  • Aftercare
  • Cytoreduction Surgical Procedures
  • Humans
  • Lymph Node Excision
  • Lymphatic Metastasis
  • Medical History Taking
  • Medical Records
  • Neoplasm Metastasis
  • Neoplasm Recurrence, Local
  • Neoplasms, Multiple Primary
  • Neoplasms, Second Primary
  • Organ Sparing Treatments
  • Palliative Care
  • Physical Examination
  • Positron-Emission Tomography
  • Preoperative Care
  • Referral and Consultation
  • Surgery
  • Tomography, X-Ray Computed

Fingerprint

Entra nei temi di ricerca di 'European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma'. Insieme formano una fingerprint unica.

Cita questo