Laparoscopic Surgery for Adrenocortical Carcinoma: Identifying Risk Factors for Noncurative Resection

In recent years, there has been an increased use of minimally invasive surgery (MIS) for adrenocortical carcinoma (ACC). However, MIS has been associated with noncurative resection and locoregional recurrence. This study aimed to identify risk factors for margin-positive resection in ACC patients undergoing MIS. Factors such as increasing age, nonacademic center, advanced tumor stage, and right-sided tumors were associated with noncurative resection. A predictive model incorporating these factors was able to stratify patients at risk. These findings can improve patient selection and minimize the risk of noncurative surgery.