Results of surgical treatment of spacious tumors of suprarenal glands

Keywords: spacious tumors of suprarenal glands; аdrenalectomy; pheochromocytoma; аdenoma of suprarenal gland; аldosteroma

Abstract

Objective. To study the results of laparoscopic adrenalectomy (LAE), performed for spacious tumors of suprarenal glands (STSG), for improvement of diagnosis and surgical treatment of patients.

Маterials and methods. Results of LАЕ, performed in 59 patients in Department of General Surgery of Ivano-Frankivsk Regional Clinical Hospital in 2013 - 2018 yrs were analyzed. There were 17 (28.8%) men and 42 (71.2%) women. The patients were 21 - 64 yrs old, and the average age have constituted (47.4 ± 8.6) yrs. In 22 (37.7%) patients the tumors were localized in right suprarenal gland, and in 37 (62.3%) – in a left one. Laboratory investigations of the suprarenal glands hormones levels, ultrasonographic investigations, computer tomography (CТ), pathohistological investigation of operative material were used for diagnosis of pathological changes in suprarenal glands.

Results. Syndrome of arterial hypertension have had 45 (76.3%) patients. Surgical treatment was conducted in accordance to following indications: Cushing syndrome, caused by benign cortisol-producing adenoma of suprarenal gland, - 12 (20.3%) patients, Cushing disease, treatment of which using other methods was noneffective, - 6 (10.2%), Conn’s syndrome - 12 (20.3%), benign pheochromocytoma of a suprarenal gland - 10 (16.9%), nonfunctional adenomas of suprarenal glands and other tumors (2 cm and more in diameter or in a case of their constant growth) – 19 (32.3%). LАЕ was performed from transabdominal access. In early postoperative period the morbidity was absent. In remote postoperative period a moderate arterial hypertension was observed in 5 (15.1%) patients, and insufficiency of suprarenal glands - in 1 (1.7%).

Conclusion. Complex diagnosis of STSG with obligatory laboratory investigation of the suprarenal glands function and application of CТ permits to establish strict indications for the operation in every individual patient. LАЕ constitutes a «gold standard» of surgical treatment of patients, suffering STSG, the method owes good or satisfactory results in early and remote period. It is expedient to create the only one National Registry of patients, suffering STSG with constant online-renovation, what would give possibility for more detailed and on large clinical material analyzing of the operative interventions performed and their result.

Author Biography

V. I. Pylypchuk, Іvano-Frankivsk National Medical University

Volodymyr Pylypchuk Doctor of Medical Sciences, Associate Professor,

Department of Surgery #2 and cardiac surgery

Ivano-Frankivsk National Medical University,

76018 Ivano-Frankivsk, Konovaltsia str.23, app. 33

tel.office. +380342528129

e-mail vipdoz@ukr.net

https://orcid.org/0000-0002-3754-4592

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Published
2018-08-30
How to Cite
Pylypchuk, V. I. (2018). Results of surgical treatment of spacious tumors of suprarenal glands. Klinicheskaia Khirurgiia, 85(8), 68-71. https://doi.org/10.26779/2522-1396.2018.08.68
Section
General Problems of Surgery