Surgical therapy of adrenal tumors: guidelines from the German Association of Endocrine Surgeons (CAEK)

被引：26

作者：

Lorenz, K. ^{[1
]}

Langer, P. ^{[2
]}

Niederle, B. ^{[3
]}

Alesina, P. ^{[4
]}

Holzer, K. ^{[5
]}

Nies, Ch. ^{[6
]}

Musholt, Th. ^{[7
]}

Goretzki, P. E. ^{[8
]}

Rayes, N. ^{[9
]}

Quinkler, M. ^{[10
]}

Waldmann, J. ^{[11
]}

Simon, D. ^{[12
]}

Trupka, A. ^{[13
]}

Ladurner, R. ^{[14
]}

Hallfeldt, K. ^{[14
]}

Zielke, A. ^{[15
]}

Saeger, D. ^{[16
]}

Poeppel, Th. ^{[17
]}

Kukuk, G. ^{[18
]}

Hotker, A. ^{[19
]}

Schabram, P. ^{[20
]}

Schopf, S. ^{[21
]}

Dotzenrath, C. ^{[22
]}

Riss, P. ^{[23
]}

Steinmueller, Th. ^{[24
]}

Kopp, I. ^{[25
]}

Vorlaender, C. ^{[26
]}

Walz, M. K. ^{[4
]}

Bartsch, D. K. ^{[5
]}

机构：

[1] Univ Klinikum Halle, Halle, Germany

[2] Klinikum Hanau, Hanau, Germany

[3] Ordination Siebenbrunnenstr, Vienna, Austria

[4] Kliniken Essen Mitte, Essen, Germany

[5] Univ Klinikum Marburg, Marburg, Germany

[6] Marien Hosp, Osnabruck, Germany

[7] Univ Klinikum Mainz, Mainz, Germany

[8] Charite Univ Med Berlin, Berlin, Germany

[9] Univ Klinikum Leipzig, Leipzig, Germany

[10] Endokrinologiepraxis Berlin, Berlin, Germany

[11] MIVENDO Klin Hamburg, Hamburg, Germany

[12] Evangel Krankenhaus BETHESDA Duisburg, Duisburg, Germany

[13] Klinikum Starnberg, Starnberg, Germany

[14] Ludwig Maximilians Univ Munchen, Munich, Germany

[15] Diakonie Klinikum Stuttgart, Stuttgart, Germany

[16] Univ Klinikum Hamburg, Hamburg, Germany

[17] Heinrich Heine Univ Dusseldorf, Dusseldorf, Germany

[18] Univ Klinikum Bonn, Bonn, Germany

[19] Univ Klinikum Zurich, Zurich, Switzerland

[20] RAE Ratacjzak & Partner, Sindelfingen, Germany

[21] Krankenhaus Agatharied, Hausham, Germany

[22] HELIOS Univ Klinikum Wuppertal, Wuppertal, Germany

[23] Med Univ Wien, Vienna, Austria

[24] Deutsch Rotes Kreuz Krankenhaus Berlin, Berlin, Germany

[25] AWMF, Frankfurt, Germany

[26] Burger Hosp, Frankfurt, Germany

来源：

LANGENBECKS ARCHIVES OF SURGERY | 2019年 / 404卷 / 04期

关键词：

Adrenal surgery; Guideline; Conn syndrome; Pheochromocytoma; Adrenal Cushing disease; ALDOSTERONE-PRODUCING ADENOMA; POSITRON-EMISSION-TOMOGRAPHY; UNILATERAL PRIMARY ALDOSTERONISM; PLASMA-RENIN-ACTIVITY; ADRENOCORTICAL CARCINOMA; CLINICAL-PRACTICE; CUSHINGS-SYNDROME; LAPAROSCOPIC ADRENALECTOMY; CORTICAL CARCINOMA; EUROPEAN-SOCIETY;

D O I：

10.1007/s00423-019-01768-z

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background and aimsPrevious guidelines addressing surgery of adrenal tumors required actualization in adaption of developments in the area. The present guideline aims to provide practical and qualified recommendations on an evidence-based level reviewing the prevalent literature for the surgical therapy of adrenal tumors referring to patients of all age groups in operative medicine who require adrenal surgery. It primarily addresses general and visceral surgeons but offers information for all medical doctors related to conservative, ambulatory or inpatient care, rehabilitation, and general practice as well as pediatrics. It extends to interested patients to improve the knowledge and participation in the decision-making process regarding indications and methods of management of adrenal tumors. Furthermore, it provides effective medical options for the surgical treatment of adrenal lesions and balances positive and negative effects. Specific clinical questions addressed refer to indication, diagnostic procedures, effective therapeutic alternatives to surgery, type and extent of surgery, and postoperative management and follow-up regime.MethodsA PubMed research using specific key words identified literature to be considered and was evaluated for evidence previous to a formal Delphi decision process that finalized consented recommendations in a multidisciplinary setting.ResultsOverall, 12 general and 52 specific recommendations regarding surgery for adrenal tumors were generated and complementary comments provided.ConclusionEffective and balanced medical options for the surgical treatment of adrenal tumors are provided on evidence-base. Specific clinical questions regarding indication, diagnostic procedures, alternatives to and type as well as extent of surgery for adrenal tumors including postoperative management are addressed.

引用

页码：385 / 401

页数：17

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