COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDS

The reasonability of application computed tomography (CT) in differential diagnostics of adrenal tumors and navigation of rational surgical approach for adrenalectomy was specified by possibilities of method development. The special research of CT possibilities in adrenal tumor diagnostics and subst...

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Main Authors: N. A. Maistrenko, I. S. Zheleznyak, P. N. Romashchenko, S. G. Blyumina
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2016-02-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/166
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author N. A. Maistrenko
I. S. Zheleznyak
P. N. Romashchenko
S. G. Blyumina
author_facet N. A. Maistrenko
I. S. Zheleznyak
P. N. Romashchenko
S. G. Blyumina
author_sort N. A. Maistrenko
collection DOAJ
description The reasonability of application computed tomography (CT) in differential diagnostics of adrenal tumors and navigation of rational surgical approach for adrenalectomy was specified by possibilities of method development. The special research of CT possibilities in adrenal tumor diagnostics and substantiation of choice of surgical interference were made in 188 patients. An analysis of clinical-laboratory and instrumental data allowed diagnostics of aldosteroma in 26% patients, corticosteroma in 33,0%, chromaffinoma in 24,5%, adrenocortical cancer in 8,5%, hormonally inactive tumor in 8,0%. Results of morphological investigations of removed adrenal tumors were matched with the preoperative CT data. There was revealed a certain density of tumors. On the basis of this density and clinical-laboratory data, the authors could reliably make a diagnosis the disease before the operation, which is very important in asymptomatic illness course and subclinical manifestations.
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spelling doaj.art-e2eaaf50c7a34f6aba0e33f68c92b9372023-03-13T08:09:09ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252016-02-011751303610.24884/0042-4625-2016-175-1-30-36165COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDSN. A. Maistrenko0I. S. Zheleznyak1P. N. Romashchenko2S. G. Blyumina3S. M. Kirov Military Medical AcademyS. M. Kirov Military Medical AcademyS. M. Kirov Military Medical AcademyS. M. Kirov Military Medical AcademyThe reasonability of application computed tomography (CT) in differential diagnostics of adrenal tumors and navigation of rational surgical approach for adrenalectomy was specified by possibilities of method development. The special research of CT possibilities in adrenal tumor diagnostics and substantiation of choice of surgical interference were made in 188 patients. An analysis of clinical-laboratory and instrumental data allowed diagnostics of aldosteroma in 26% patients, corticosteroma in 33,0%, chromaffinoma in 24,5%, adrenocortical cancer in 8,5%, hormonally inactive tumor in 8,0%. Results of morphological investigations of removed adrenal tumors were matched with the preoperative CT data. There was revealed a certain density of tumors. On the basis of this density and clinical-laboratory data, the authors could reliably make a diagnosis the disease before the operation, which is very important in asymptomatic illness course and subclinical manifestations.https://www.vestnik-grekova.ru/jour/article/view/166adrenal tumorctguidance to adrenal approachendovideosurgical adrenalectomy
spellingShingle N. A. Maistrenko
I. S. Zheleznyak
P. N. Romashchenko
S. G. Blyumina
COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDS
Вестник хирургии имени И.И. Грекова
adrenal tumor
ct
guidance to adrenal approach
endovideosurgical adrenalectomy
title COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDS
title_full COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDS
title_fullStr COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDS
title_full_unstemmed COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDS
title_short COMPUTER-TOMOGRAPHIC TECHNOLOGIES IN THE SURGERY OF ADRENAL GLANDS
title_sort computer tomographic technologies in the surgery of adrenal glands
topic adrenal tumor
ct
guidance to adrenal approach
endovideosurgical adrenalectomy
url https://www.vestnik-grekova.ru/jour/article/view/166
work_keys_str_mv AT namaistrenko computertomographictechnologiesinthesurgeryofadrenalglands
AT iszheleznyak computertomographictechnologiesinthesurgeryofadrenalglands
AT pnromashchenko computertomographictechnologiesinthesurgeryofadrenalglands
AT sgblyumina computertomographictechnologiesinthesurgeryofadrenalglands