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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.33 - Nº 4 - Dic. 2017

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Adrenal incidentaloma surgery

CHINELLI J; RODRÍGUEZ TEMESIO G
Rev Med Urug 2017; 33: 242-248
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

Background: the incidence of adrenal incidentalomas has increased with the use of modern imaging techniques and surgical indication is based on suspected malignancy or hyperfunction.

Objective: to review a casuistry of surgically treated adrenal incidentalomas.

Method: 16 patients operated between 2010 and 2016 in two health care institutions. The study describes diagnostic aspects, operative techniques and morbimortality of the procedures.

Results: most of the procedures were performed by laparoscopic approach, 3 intraoperative complications arose, there being no deaths in the series. The most frequently encountered lesion was non-functioning adenoma.

Discussion: imaging constitutes the diagnostic key which results essential to make a decision as to whether to follow or operate an adrenal incidentaloma. Follow-up protocols are still under discussion, as is indication of surgery in subclinical functional lesions

Conclusions: laparoscopic adrenalectomy is a safe surgery, with morbidity and mortality rates which lie within the range described by relevant literature.