{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:27:32Z","timestamp":1770748052117,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,2,25]],"date-time":"2018-02-25T00:00:00Z","timestamp":1519516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002456","name":"Chonnam National University","doi-asserted-by":"publisher","award":["HCRI 17961\u20101"],"award-info":[{"award-number":["HCRI 17961\u20101"]}],"id":[{"id":"10.13039\/501100002456","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the surgical feasibility of laparoscopic adrenalectomy using the lateral retroperitoneal approach for the treatment of large pheochromocytomas, and to identify the preoperative risk factors for intraoperative hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed 51 patients who underwent laparoscopic adrenalectomy using the lateral retroperitoneal approach for the treatment of pheochromocytomas. Patient characteristics and perioperative outcomes were analyzed and compared between the two study groups based on tumor size: group A (<jats:italic>n<\/jats:italic> = 27, \u22646 cm) and group B (<jats:italic>n<\/jats:italic> = 24, \u02c36 cm).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference in preoperative characteristics between the two groups except for tumor size (<jats:italic>P<\/jats:italic> = 0.001) and urinary metanephrine (<jats:italic>P<\/jats:italic> = 0.011). Group B patients required longer operating time (<jats:italic>P<\/jats:italic> = 0.008), had a greater estimated blood loss (<jats:italic>P<\/jats:italic> = 0.001) and hemoglobin change (<jats:italic>P<\/jats:italic> = 0.002). However, no significant differences were observed in perioperative complications and mortality. Multivariate analysis showed that symptomatic pheochromocytomas (<jats:italic>P<\/jats:italic> = 0.004) and tumor size (<jats:italic>P<\/jats:italic> = 0.007) were significant risk factors for intraoperative hypertension.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Laparoscopic adrenalectomy using the lateral retroperitoneal approach for pheochromocytomas can be regarded as a treatment option, even for tumors measuring &gt;6 cm. Symptomatic pheochromocytomas and large tumor size seem to represent risk factors for intraoperative hypertension.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.13524","type":"journal-article","created":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T00:22:44Z","timestamp":1519604564000},"page":"414-419","source":"Crossref","is-referenced-by-count":27,"title":["Laparoscopic adrenalectomy using the lateral retroperitoneal approach: Is it a safe and feasible treatment option for pheochromocytomas larger than 6 cm?"],"prefix":"10.1111","volume":"25","author":[{"given":"Ho Seok","family":"Chung","sequence":"first","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myung Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Song","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eu Chang","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sun\u2010Ouck","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung Jin","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seung Il","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taek Won","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwangsung","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Deuk","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Urology Chonnam National University Medical School Gwangju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67139-5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198411153112007"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199210013271417"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13707"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5114\/wiitm.2015.52869"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP12014.OR"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3912-0"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2011.07.004"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2007-1720"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-013-1139-7"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)66231-3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-13-S2-S5"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-002-6666-0"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-1051"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200011000-00013"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.10.012"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000164175.26785.06"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199709000-00003"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3180f6174b"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.12.042"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2352-0"},{"key":"e_1_2_8_24_1","first-page":"16","article-title":"Treatment of pheochromocytomas with retroperitoneal laparoscopy","volume":"11","author":"Rabii R","year":"2001","journal-title":"Prog. 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