{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T09:56:39Z","timestamp":1738749399123,"version":"3.37.0"},"reference-count":7,"publisher":"Walter de Gruyter GmbH","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2024-0490_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The aim of this study was to assess the impact of pre-operative imaging regarding selecting cases of children\u2019s who underwent laparoscopic adrenalectomy due to adrenal masses in two tertiary medical centers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2024-0490_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We performed a retrospective review of all laparoscopic adrenalectomy performed at two tertiary medical centers in Israel between 2017 and 2023.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2024-0490_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Sixteen (n=16) patients, 10 girls and six boys, underwent laparoscopic adrenalectomy through a transperitoneal approach. The median age was 10 years (range: eight months to 17.3 years). Six masses were incidentalomas. Preoperative imaging (ultrasonography, CT, and MRI) demonstrated a mass in the right adrenal (n=9) and left adrenal (n=7), with tumor sizes ranging from 1.8 to 5.3\u202fcm in maximum diameter. Operative results showed minimal blood loss and no conversions to laparotomy. There were no postoperative complications. Pathological diagnoses included neuroblastoma (n=8), cortical hormone-secreting tumors (n=3), pheochromocytoma (n=2), adrenal cortical adenoma (n=2), and adrenal metastatic Ewing sarcoma (n=1). Eleven masses were defined as benign and five as malignant tumors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2024-0490_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Laparoscopic adrenalectomy appears to be a safe and effective technique in selected cases with adrenal masses. Among our cohort, malignant masses were more common compared to the predominantly benign adrenal masses seen in adults. Vascular encasement was a major factor in determining the feasibility of the laparoscopic approach, with preoperative imaging playing a critical role in this assessment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2024-0490","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T06:44:07Z","timestamp":1735627447000},"page":"116-119","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic adrenalectomy in children with diverse adrenal pathologies: the impact of pre-operative imaging in decision making process"],"prefix":"10.1515","volume":"38","author":[{"given":"Dragan","family":"Kravarusic","sequence":"first","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery , 36739 Schneider Children\u2019s Medical Center of Israel , Petah-Tiqwa, Israel, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University , Tel-Aviv , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osher","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery , 36739 Schneider Children\u2019s Medical Center of Israel , Petah-Tiqwa, Israel, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University , Tel-Aviv , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaki Elias","family":"Assi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery , Soroka Medical Center, Beer-Sheva, Israel, Affiliated to the Faculty of Health Sciences, Ben-Gurion University of the Negev , Beer-Sheva , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boaz","family":"Markel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery , Soroka Medical Center, Beer-Sheva, Israel, Affiliated to the Faculty of Health Sciences, Ben-Gurion University of the Negev , Beer-Sheva , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osnat","family":"Konen","sequence":"additional","affiliation":[{"name":"The Institute of Imaging , 36739 Schneider Children\u2019s Medical Center of Israel, Petah-Tiqwa , Israel, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University , Tel-Aviv , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orly","family":"Rafael","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery , 36739 Schneider Children\u2019s Medical Center of Israel , Petah-Tiqwa, Israel, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University , Tel-Aviv , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3076-8304","authenticated-orcid":false,"given":"Yael","family":"Dreznik","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Surgery , 36739 Schneider Children\u2019s Medical Center of Israel , Petah-Tiqwa, Israel, Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University , Tel-Aviv , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"2025020411462950667_j_jpem-2024-0490_ref_001","doi-asserted-by":"crossref","unstructured":"Sosnowska-Sienkiewicz, P, Strauss, E, Bu\u0107ko, E, Dopiera\u0142a, M, Ma\u0144kowski, P, Januszkiewicz-Lewandowska, D. Are there any limiting factors of minimally invasive adrenalectomy in children? Over 20-year single-center experience. Pol Przegl Chir 2022;94:46\u201353. https:\/\/doi.org\/10.5604\/01.3001.0015.7783.","DOI":"10.5604\/01.3001.0015.7783"},{"key":"2025020411462950667_j_jpem-2024-0490_ref_002","doi-asserted-by":"crossref","unstructured":"Oesterreich, R, Varela, MF, Moldes, J, Lobos, P. Laparoscopic\u00a0approach\u00a0of\u00a0pediatric adrenal tumors. Pediatr Surg Int 2022;38:1435\u201344. https:\/\/doi.org\/10.1007\/s00383-022-05188-x.","DOI":"10.1007\/s00383-022-05188-x"},{"key":"2025020411462950667_j_jpem-2024-0490_ref_003","doi-asserted-by":"crossref","unstructured":"Hobart, MG, Gill, IS, Schweizer, D, Sung, GT, Bravo, EL. Laparoscopic adrenalectomy for large volume (\u22645\u202fcm) adrenal masses. J Endourol 2000;14:149\u201354. https:\/\/doi.org\/10.1089\/end.2000.14.149.","DOI":"10.1089\/end.2000.14.149"},{"key":"2025020411462950667_j_jpem-2024-0490_ref_004","doi-asserted-by":"crossref","unstructured":"Fati, F, Pulvirenti, R, Paraboschi, I, Martucciello, G. Surgical approaches to neuroblastoma: review of the operative techniques. Children 2021;8:446. https:\/\/doi.org\/10.3390\/children8060446.","DOI":"10.3390\/children8060446"},{"key":"2025020411462950667_j_jpem-2024-0490_ref_005","doi-asserted-by":"crossref","unstructured":"Galazka, P, Czyzewski, K, Marjanska, A, Daniluk-Matras, I, Styczynski, J. Minimally invasive surgery in pediatric oncology: proposal of guidelines. Anticancer Res 2019;39:5853\u20139. https:\/\/doi.org\/10.21873\/anticanres.13789.","DOI":"10.21873\/anticanres.13789"},{"key":"2025020411462950667_j_jpem-2024-0490_ref_006","doi-asserted-by":"crossref","unstructured":"Rowe, SP, Lugo-Fagundo, C, Ahn, H, Fishman, EK, Prescott, JD. What the radiologist needs to know: the role of preoperative computed tomography in selection of operative approach for adrenalectomy\u00a0and\u00a0review of operative techniques. Abdom Radiol 2019;44:140\u201353. https:\/\/doi.org\/10.1007\/s00261-018-1669-y.","DOI":"10.1007\/s00261-018-1669-y"},{"key":"2025020411462950667_j_jpem-2024-0490_ref_007","doi-asserted-by":"crossref","unstructured":"Di Buono, G, Buscemi, S, Lo Monte, AI, Geraci, G, Sorce, V, Citarrella, R, et al.. Laparoscopic adrenalectomy: preoperative data, surgical technique and clinical outcomes. 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