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Pheochromocytoma and Hemodynamic Instability

Completed
Conditions
Pheochromocytoma
Surgery
Hypertension
Registration Number
NCT04566406
Lead Sponsor
Jagiellonian University
Brief Summary

The aims of our study were to define perioperative HI during laparoscopic adrenalectomy for pheochromocytoma, assess the incidence of perioperative HI, and identify predictive factors of perioperative HI in our group of patients.

Detailed Description

The study was a retrospective observation of consecutive patients with histologically confirmed pheochromocytoma undergoing laparoscopic adrenalectomy between years 2003 and 2019.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
96
Inclusion Criteria
  • patients with histologically confirmed pheochromocytoma undergoing laparoscopic adrenalectomy
Exclusion Criteria
  • bilateral tumour
  • no histopathological result
  • neoplastic spread

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of Participants with Hemodynamic Instability (n, %)intraoperative

Hemodynamic instability was defined as an occurrence of both intraoperative episodes of systolic blood pressure above 160 mm Hg and vasoactive (vasodilators or vasoconstrictors) drugs administration. Patients were divided into two groups: one which met both above criteria, and another one without hemodynamic instability.

Secondary Outcome Measures
NameTimeMethod
Number of Complications in Patients (n, %)Within 30 days after surgery

Data on morbidity were classified according to the Clavien-Dindo classification.

Number of Cardiovascular Complications in Patients (n, %)Within 30 days after surgery

Cardiovascular morbidity was defined as postoperative morbidity related to the cardiovascular system: postoperative hypotensive or hypertensive episodes requiring pharmacologic treatment, need for blood transfusion, myocardial or digestive ischemia, stroke, and postoperative hospitalization in intensive care unit (ICU) for cardiac-related causes.

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