PARTIAL ADRENALECTOMY - HOW FAR CAN WE GO?
| Autor: | Miron A; 'Carol Davila' University of Medicine and Pharmacy, General Surgery Department, Emergency University Hospital, Bucharest, Romania.; 'Elias' Emergency University Hospital, Bucharest, Romania., Toma EA; 'Carol Davila' University of Medicine and Pharmacy, General Surgery Department, Emergency University Hospital, Bucharest, Romania.; 'Elias' Emergency University Hospital, Bucharest, Romania., Enciu O; 'Carol Davila' University of Medicine and Pharmacy, General Surgery Department, Emergency University Hospital, Bucharest, Romania.; 'Elias' Emergency University Hospital, Bucharest, Romania. |
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| Jazyk: | angličtina |
| Zdroj: | Acta endocrinologica (Bucharest, Romania : 2005) [Acta Endocrinol (Buchar)] 2022 Jul-Sep; Vol. 18 (3), pp. 401-405. |
| DOI: | 10.4183/aeb.2022.401 |
| Abstrakt: | Organ preservation and functional resections are the mainstays of most surgical sub-specialties at the present time. This is even more evident in endocrine surgery, where the product of secretion of these petit organs is of paramount importance. Partial adrenalectomy and cortical sparing techniques have evolved to actually compete with total adrenalectomy, the historical gold standard treatment. Much refined imaging techniques can readily identify smaller adrenal lesions that can be addressed surgically or percutaneously given the indication. The trend towards partial adrenalectomy is straightforward in bilateral disease where steroid replacement can be avoided while for unilateral disease, normal hormonal levels can be obtained. The reviewed publications offer deep insight into the advancement of partial or cortical sparing adrenal procedures from pioneering work to large cohort studies. Competing Interests: The authors declare that they have no conflict of interest. (©2022 Acta Endocrinologica (Buc).) |
| Databáze: | MEDLINE |
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