Comparison of adrenal tumor treatment results by different volume of surgical interventions.
In recent years detection of various adrenal tumors has increased greatly. Total adrenalectomy remains the standart of surgical managment for adrenal tumors, although, the vast majority of these tumors turn out to be benign on the routine histological examination. Performing organ-sparing surgery wo...
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| Format: | Article |
| Language: | Russian |
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Endocrinology Research Centre
2016-10-01
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| Series: | Эндокринная хирургия |
| Subjects: | |
| Online Access: | https://surg-endojournals.ru/serg/article/viewFile/7984/6031 |
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| author | Dmitriy J. Semenov Polyna A. Pankova Zeynur K. Osmanov Vera G. Chausova Ulyana V. Farafonova |
| author_facet | Dmitriy J. Semenov Polyna A. Pankova Zeynur K. Osmanov Vera G. Chausova Ulyana V. Farafonova |
| author_sort | Dmitriy J. Semenov |
| collection | DOAJ |
| description | In recent years detection of various adrenal tumors has increased greatly. Total adrenalectomy remains the standart of surgical managment for adrenal tumors, although, the vast majority of these tumors turn out to be benign on the routine histological examination. Performing organ-sparing surgery would allow to avoid hormone insufficiency after total adrenalectomy.
Aim: to compare results of adrenal tumors treatment by different volume of surgical interventions.
Materials and methods. We evaluated the short-term results of 237 patients treatment with various adrenal tumors. Total adrenalectomy were performed on 206 cases, 31 patients undergone adrenal resection. There were analyzed intraoperative and postoperative complications, assessed the hormonal status of the patients, depending on the extent of surgical treatment. Besides, the long-term results were evaluated in 141 patients underwent total adrenalectomy and 30 patients after organ-sparing surgery. Moreover, we analyzed the percentage of recurrenses, assessed the hormonal status of the patients and the effectiveness of treatment.
Results. Performing the organ-sparing operations doesnapos;t increase the risk of intraoperative complications. In all patients with hormone-active tumors we found decline of pathologically increased hormone levels and trend to regress of clinical manifestations of the disease in early postoperative period. We found no difference in local recurrences in both groups, and its occurrence did not exceed 3.33%. Refractory postoperative adrenal insufficiency was observed only in corticosteroma patients in spite of surgery volume. In case of both side adrenal tumors there was no need in replacement therapy after total adrenalectomy from there one side and resection from the other.
Conclusions. In cases of adrenal tumor performing organ-sparing operations is advisable, if there are no preoperative sings of malignancy. |
| first_indexed | 2024-12-19T09:20:53Z |
| format | Article |
| id | doaj.art-6fc1539a971d4ef181ffd3806ce44c20 |
| institution | Directory Open Access Journal |
| issn | 2306-3513 2310-3965 |
| language | Russian |
| last_indexed | 2024-12-19T09:20:53Z |
| publishDate | 2016-10-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Эндокринная хирургия |
| spelling | doaj.art-6fc1539a971d4ef181ffd3806ce44c202022-12-21T20:27:59ZrusEndocrinology Research CentreЭндокринная хирургия2306-35132310-39652016-10-01102344310.14341/serg2016234-437530Comparison of adrenal tumor treatment results by different volume of surgical interventions.Dmitriy J. Semenov0Polyna A. Pankova1Zeynur K. Osmanov2Vera G. Chausova3Ulyana V. Farafonova4First Pavlov State Medical University of St. PetersburgFirst Pavlov State Medical University of St. Petersburg; Federal Almazov North-West Medical Research CentreFirst Pavlov State Medical University of St. Petersburg; Federal Almazov North-West Medical Research CentreFirst Pavlov State Medical University of St. Petersburg; Federal Almazov North-West Medical Research CentreFirst Pavlov State Medical University of St. PetersburgIn recent years detection of various adrenal tumors has increased greatly. Total adrenalectomy remains the standart of surgical managment for adrenal tumors, although, the vast majority of these tumors turn out to be benign on the routine histological examination. Performing organ-sparing surgery would allow to avoid hormone insufficiency after total adrenalectomy. Aim: to compare results of adrenal tumors treatment by different volume of surgical interventions. Materials and methods. We evaluated the short-term results of 237 patients treatment with various adrenal tumors. Total adrenalectomy were performed on 206 cases, 31 patients undergone adrenal resection. There were analyzed intraoperative and postoperative complications, assessed the hormonal status of the patients, depending on the extent of surgical treatment. Besides, the long-term results were evaluated in 141 patients underwent total adrenalectomy and 30 patients after organ-sparing surgery. Moreover, we analyzed the percentage of recurrenses, assessed the hormonal status of the patients and the effectiveness of treatment. Results. Performing the organ-sparing operations doesnapos;t increase the risk of intraoperative complications. In all patients with hormone-active tumors we found decline of pathologically increased hormone levels and trend to regress of clinical manifestations of the disease in early postoperative period. We found no difference in local recurrences in both groups, and its occurrence did not exceed 3.33%. Refractory postoperative adrenal insufficiency was observed only in corticosteroma patients in spite of surgery volume. In case of both side adrenal tumors there was no need in replacement therapy after total adrenalectomy from there one side and resection from the other. Conclusions. In cases of adrenal tumor performing organ-sparing operations is advisable, if there are no preoperative sings of malignancy.https://surg-endojournals.ru/serg/article/viewFile/7984/6031adrenal tumoradrenal gland resectiontotal adrenalectomy. |
| spellingShingle | Dmitriy J. Semenov Polyna A. Pankova Zeynur K. Osmanov Vera G. Chausova Ulyana V. Farafonova Comparison of adrenal tumor treatment results by different volume of surgical interventions. Эндокринная хирургия adrenal tumor adrenal gland resection total adrenalectomy. |
| title | Comparison of adrenal tumor treatment results by different volume of surgical interventions. |
| title_full | Comparison of adrenal tumor treatment results by different volume of surgical interventions. |
| title_fullStr | Comparison of adrenal tumor treatment results by different volume of surgical interventions. |
| title_full_unstemmed | Comparison of adrenal tumor treatment results by different volume of surgical interventions. |
| title_short | Comparison of adrenal tumor treatment results by different volume of surgical interventions. |
| title_sort | comparison of adrenal tumor treatment results by different volume of surgical interventions |
| topic | adrenal tumor adrenal gland resection total adrenalectomy. |
| url | https://surg-endojournals.ru/serg/article/viewFile/7984/6031 |
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