Bolívar-Rodríguez MA, Cázarez-Aguilar MA, Magaña-Zavala PA, Magaña-Olivas F, Niebla-Moreno JM

Language: Spanish
References: 18
Page: 8-13
PDF size: 245.07 Kb.

ABSTRACT

Introduction: Adrenal incidentaloma is defined as a tumor greater than 1 cm in diameter, discovered during radiological examination performed without suspicion of adrenal disease. It has a prevalence in radiological studies of 3% at 50 years-old, increasing 7-15% in elderly patients. When surgery is indicated, the gold standard is laparoscopic adrenalectomy. Objective: To describe a series of three cases and their variables in patients with adrenal incidentaloma resolved by transperitoneal laparoscopy approach by general surgery in a second-level hospital. Material and methods: Observational and retrospective study of series of three cases of transperitoneal laparoscopic adrenalectomies, performed from 2016 to 2021 in a second-level hospital by the same surgical team. Results: Three transperitoneal laparoscopic adrenalectomies. Mean age 48 years-old, two men and one woman. Histopathological diagnoses were two functional adenoma, and one non-functional adenoma. Mean tumor size was 3 cm. Mean surgical time was 90 minutes, 40 mL of intraoperative bleeding and two days of hospital stay. Conclusions: Transperitoneal laparoscopic adrenalectomy is a safe procedure that can be performed by general surgery in a second level hospital.

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