Adrenal-sparing surgery for a hormonally active tumour — a single-centre experience
| Autor: | Wawrzyniec Jakuczun, Zbigniew Gałązka, Ryszard Pogorzelski, Małgorzata Legocka, Sadegh Toutounchi, Tomasz Wołoszko, Krzysztof Celejewski, Ewa Krajewska |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism medicine.medical_treatment Partial adrenalectomy Endocrine Surgical Procedures Adrenal Gland Neoplasms Pheochromocytoma Endocrinology Laparotomy Adrenal Glands medicine Humans In patient Aged Adrenal cortex Adrenal gland business.industry Adrenalectomy Middle Aged medicine.disease Surgery Single centre Treatment Outcome medicine.anatomical_structure Female Laparoscopy business Follow-Up Studies |
| Zdroj: | Endokrynologia Polska. 71:388-391 |
| ISSN: | 2299-8306 0423-104X |
| Popis: | Introduction: Surgeries that spare the adrenal cortex during adrenalectomy have profound justification. Indications for this type of surgery are fairly strict, and more than 30 years of observations continuously verify the results of the procedure. Material and methods: Of a total of 650 adrenalectomies, 22 (3.4%) were adrenal cortex-sparing surgeries. There were 16 women and six men in this group. In 10 cases, surgery was performed for pheochromocytoma, eight cases involved Conn’s syndrome, and in four cases — paragangliomas located in the para-adrenal region. Secretory activity was identified in all cases. Results: Laparoscopic partial adrenalectomy was performed in 20 patients. Conversion to open laparotomy was necessary in two cases. In patients after bilateral resection of pheochromocytoma surgery, glucocorticoids were supplemented for six weeks. No significant surgical complications were observed in this group. Conclusions: Partial adrenalectomy for minor lesions should be a much more commonly utilised treatment method (of choice). Where bilateral adrenalectomy is necessary, a sparing procedure on one side protects patients from the need for hormonal substitution. The remaining part of the adrenal gland undertakes satisfactory secretory function after six weeks at the latest. |
| Databáze: | OpenAIRE |
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