Why the study?
Does laparoscopic adrenalectomy compared to open resection improve outcomes in patients with adrenocortical carcinoma?
Does laparoscopic adrenalectomy compared to open resection improve outcomes in patients with adrenocortical carcinoma?
Laparoscopic resection for adrenocortical carcinoma is associated with earlier recurrence and higher rates of positive margins or tumor spill compared to open resection, suggesting it should not be attempted for known or suspected ACC.
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Supports avoiding LA for suspected ACC; leaves open whether open resection is superior pending randomized trials.
Miller et al. (2010) studied this question.
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