Adrenal cysts – optimal laparoscopic treatment
Autor: | Urszula Ambroziak, Łukasz Koperski, Sadegh Toutounchi, Zbigniew Gałązka, Krzysztof Celejewski, Ryszard Pogorzelski, Wawrzyniec Jakuczun, Ewa Krajewska, Małgorzata Szostek, Tomasz Wołoszko |
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Rok vydání: | 2018 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty Urology medicine.medical_treatment Population lcsh:Medicine adrenal cysts Lesion 03 medical and health sciences adrenal cyst resection 0302 clinical medicine medicine Cyst education Pathological Original Paper education.field_of_study business.industry Adrenal gland Adrenalectomy lcsh:R Gastroenterology adrenalectomy Obstetrics and Gynecology medicine.disease Surgery Adrenal Cyst medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business laparoscopic adrenalectomy |
Zdroj: | Videosurgery and Other Miniinvasive Techniques, Vol 13, Iss 3, Pp 288-291 (2018) Videosurgery and other Miniinvasive Techniques |
ISSN: | 1895-4588 |
Popis: | Introduction Adrenal cysts develop in up to about 0.2% of the overall population. They may account for up to 11% of all pathologies of adrenal glands. Aim Is laparoscopic resection of adrenal cysts a method for the treatment of these pathologies? Material and methods In the years 2010–2017, a total of 27 patients underwent surgery due to adrenal cysts; those included 18 (66.7%) women and 9 (33.3%) men aged 29 to 84 years (mean age: 42.7). Cyst diameter ranged from 55 to 130 mm. After exclusion of hormonal hyperactivity, parasitic cysts, or, to the best possible extent, cancer lesions, patients were qualified for adrenal-sparing laparoscopic surgery. Results All patients were subjected to laparoscopic surgery. Cystic wall resection was performed in 15 (55.6%) patients while adrenalectomy was performed in the remaining 12 (44.4%) patients. The decision regarding the extent of the surgery was made intraoperatively. Histopathological assessment revealed pathological adrenal lesions in as few as 3 (11.1%) patients, with the rest of the study population, i.e. 24 (88.9%), presenting with normal adrenal tissue. Conclusions Laparoscopic resection of adrenal cysts appears to be recommendable as a method for the treatment of these pathologies. It is simpler than adrenalectomy and associated with low risk of any pathological lesion remaining within the adrenal gland following careful intraoperative assessment by an experienced surgeon. |
Databáze: | OpenAIRE |
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