
Experience in endoscopic treatment of patients with adrenal neoplasms
Author(s) -
К В Стегний,
Т.А. Кулакова,
Е. Р. Двойникова,
Р. А. Гончарук,
А. М. Морозова,
О. Г. Цыганкова,
А. А. Крекотень,
М.О. Dmitriev,
А К Сорока,
Andrey Morgun
Publication year - 2020
Publication title -
tihookeanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
ISSN - 1609-1175
DOI - 10.34215/1609-1175-2020-1-55-59
Subject(s) - medicine , surgery , blood loss , laparoscopy , mortality rate , general surgery
Objective: To summarize the experience of endoscopic surgical treatment of patients with adrenal neoplasms. Methods : The results of treatment of 80 patients (64 women and 16 men) with adrenal neoplasm were retrospectively analyzed in Medical Center, Far Eastern Federal University, from 2014 to 2019. Results : Andrenalectomies were performed via three accesses: laparoscopic (49 cases), retroperitoneoscopic (22 cases) and laparoscopy-assisted (6 cases). Three cases required conversion. 70 benign and 10 malignant neoplasms were removed. Complications, including one death, developed in four cases. Conclusions : Minimally invasive andrenalectomy is safer and more preferable than open surgery due to reduced duration of hospital stay, decreased rate of complications, degree of pain syndrome, extent of blood loss and need for opioid analgesics.