This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma. BJS 2017; 104: 358-376.

Published: 15th February 2017

Authors: S. Gaujoux, R. Mihai, B. Carnaille, B. Dousset, C. Fiori, F. Porpiglia et al.

Background

Radical surgery provides the best chance of cure for adrenocortical carcinoma (ACC), but perioperative surgical care for these patients is yet to be standardized.

Method

A working group appointed jointly by ENSAT and ESES used Delphi methodology to produce evidence‐based recommendations for the perioperative surgical care of patients with ACC. Papers were retrieved from electronic databases. Evidence and recommendations were classified according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system, and were discussed until consensus was reached within the group.

Results

Twenty‐five recommendations for the perioperative surgical care of patients with ACC were formulated. The quality of evidence is low owing to the rarity of the disease and the lack of prospective surgical trials. Multi‐institutional prospective cohort studies and prospective RCTs are urgently needed and should be strongly encouraged.

Conclusion

The present evidence‐based recommendations provide comprehensive advice on the optimal perioperative care for patients undergoing surgery for ACC.

Full text

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European Society of Endocrine Surgeons (ESES) and European Network for the Study of Adrenal Tumours (ENSAT) recommendations for the surgical management of adrenocortical carcinoma. BJS 2017; 104: 358-376.

Background

Method

Results

Conclusion

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