ENDOSURGICAL INTERVENTIONS FOR ADRENAL TUMORS

L P Kotelnikova; A N Fedachuk; G Yu Mokina

doi:10.17816/pmj33412-16

Perm Medical Journal ›› 2016, Vol. 33 ›› Issue (4) :12 -16. DOI: 10.17816/pmj33412-16

Articles

research-article

ENDOSURGICAL INTERVENTIONS FOR ADRENAL TUMORS

Author information +

History +

PDF

Abstract

Aim. The aim of the study was to analyze the peculiarities of intraoperative and early postoperative periods in patients with adrenal lesions and chromaffin tissue tumors (CTT), who were operated with endovideosurgical techniques. Materials and methods. The results of surgical treatment performed in 82 patients with tumors of adrenal glands were analyzed depending on the size of lesion, morphological structure and technique of adrenalectomy; 22 patients underwent «open» operations, 60 - laparoscopic ones. Results. Endosurgical adrenalectomy for tumors larger than 5 cm was established to increase the duration of surgical intervention by 32 minutes and does not influence the number of intraoperative and postoperative complications ( r = 0,09, p = 0,70). Conclusions. Duration of surgical intervention and development of complications do not depend on morphological structure of the tumor. Simultaneous surgeries performed from the laparoscopic approach insignificantly increase the duration of surgery without elevating the number of the postoperative complications and time of hospitalization.

Keywords

Adrenal tumor / laparoscopic adrenalectomy / simultaneous interventions

Cite this article

Download citation ▾

L P Kotelnikova, A N Fedachuk, G Yu Mokina. ENDOSURGICAL INTERVENTIONS FOR ADRENAL TUMORS. Perm Medical Journal, 2016, 33(4): 12-16 DOI:10.17816/pmj33412-16

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Кочоян Т.М., Комаров И.Г., Керимов Р.А., Подрегульский К.Э., Логачев А.Р. Лапароскопическая адреналэктомия у больных с новообразованием надпочечника. Сибирский онкологический журнал 2008; 2: 66-68.

[2]	Леоненко С.Н., Селиванов А.В., Безруков О.Ф., Потапов А.Л., Глотов М.А. Лапароскопическая адреналэктомия. Первый опыт. Таврический медико-биологический журнал 2013; 4: 103-106.

[3]	Хатьков И.Е., Цвиркун В.В., Израилов Р.Е., Агапов К.В. Лапароскопическая лимфаденэктомия (лимфодиссекция) в абдоминальной хирургии. Вестник Московского онкологического общества 2010; 1: 5-6.

[4]	Хубезов Д.А., Пучков К.В. Лапароскопическая лимфодиссекция при раке прямой кишки. Колопроктология 2008; 4: 23-27.

[5]	Carter Y.M., Mazeh H., Sippel R.S., Chen F., Chen H. Laparoscopic resection is safe and feasible for large (6 cm) pheochromocytomas without suspicion of malignancy. Endocr. Pract. 2012; 18: 720-726.

[6]	Kalady M.F., McKinlay R., Olson J.A., Pinheiro J., Lagoo S., Park A., Eubanks W.S. Laporoscopic adrenalectomy for pheochromocytoma. A comparison to aldosteronoma and incidentaloma. Surg. Endosc. 2004; 18: 621-625.

[7]	Sarela A.L., Murphy I., Coit D.G., Conlon K.C. Metastasis to the adrenal gland: the emerging role of lapascopic surgery. Ann. Surg. Oncol. 2003; 10: 1191-1196.