Bibliographic record
Abstract
Historically pheochromocytoma excision has proven to be challenging for a variety of reasons such as blood pressure spikes and blood loss. With the development of sophisticated robotic systems, this surgery has become more feasible. The following will present a case highlighting the excision of a metabolically active pheochromocytoma using the DaVinci robot. A 79-year-old male presented for evaluation of left adrendal mass measuring 8.0 cm. Subsequent testing revealed pheochromocytoma. Methods: Preoperatively the patient received a two week alpha blockade. The DaVinci robot was side docked with left side elevated. It was noted that manipulation of the tumour resulted in a spike of the patient's blood pressure. Patient was noted to have large accessory veins, controlled with 45 mm Ethicon endoscopic vascular stapler. Following occlusion of the veins there was a noted drop in blood pressure, typical of metabolically active pheochromocytoma. Blood loss was estimated at 200 cc. Procedure was tolerated well. Results: Pheochromocytoma was successfully removed assistance from the DaVinci Robot. Minimal blood loss was encountered and complications were minimal. Patient developed postoperative ileus and was discharged home on postoperative day 16. Conclusion: Robotic assistance allowed for limited manipulation of the lesion, reducing the risk of unsafe blood pressure spikes. Blood loss was minimized with the use of the Ethicon endoscopic vascular stapler.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".