The application of improved transperitoneal laparoscopic surgery in treating adrenal incidentalomas

doi:10.3877/cma.j.issn.1674-6899.2017.06.012

Abstract

Abstract:

Objective

To discuss the clinical application and therapeutic effect of Improved transperitoneal laparoscopic surgery in treating adrenal incidentalomas.

Methods

65 cases were diagnosed as adrenal incidentalomas due to health examination or treatment of other than adrenal disease, including 28 males and 37 females, whose ages were between 24 and 71 years, with mean age of 55 years. Tumor diameter: < 4 cm 45 cases, 4-6 cm 17 cases, > 6 cm 3 cases. Improved transperitoneal laparoscopic surgery were performed in all patients.

Results

Post operation were finally diagnosed adrenocortical adenoma in 44 cases (non-functional adenoma 32 cases; primary aldosteronism 8 cases; Cushing syndrome 4 cases) 10 cases were adrenocortical nodular hyperplasia (primary aldosteronism 9 cases; bilateral nodular adrenal hyperplasia 1 case), 5 cases were pheochromocytoma, 2 cases of ganglioneuroma, adrenal myelolipoma is 3 cases, and adrenal cortical carcinoma in 1 case.

Conclusions

Improved transperitoneal laparoscopic surgery was a safe technology and its effect was reliable.

Key words: Adrenal gland neoplasm, Adrenal incidentaloma, Laparoscopy

Mingchuan Li, Qing Li, Yong Luo, Yongxing Wang, Jiahui Zhao, Yongguang Jiang, Dechao Wei. The application of improved transperitoneal laparoscopic surgery in treating adrenal incidentalomas[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2017, 10(06): 366-369.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2017.06.012

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2017/V10/I06/366

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