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2002, Number 3

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Cir Gen 2002; 24 (3)

Results of adrenal surgery for the treatment of hypercortisolism

Soliva DR, Savío LAM, Copo JJA, Recio PH, Martínez CO

Language: Spanish
References: 36
Page: 184-190
PDF size: 48.53 Kb.


ABSTRACT

Objective: To assess the results of adrenalectomies in patients with hypercortisolism.
Setting: Third level health care hospital.
Design: Retrospective, observational study.
Statistical analysis: Median, percentage, and Pearson’s correlation.
Results: Forty-five adrenalectomies were performed in 33 patients, two of them were men, average age of 33.4 years. Cortico-suprarrenal hyperplasia was the most frequent form of the syndrome (60%). Twenty patients presented antecedents of hypohypophysiary adenoma, in seven it had been resected previously by trans-sphenoidal approach. In 51.1% (23), the adrenalectomies were left-sided and in 48.9% (22) right-sided; in 35 (77.8%) the approach was lumbar and in 10 (22.2%) laparoscopic. Average surgical time was of 106 minutes. There were 17 transoperative accidents (37.8%), the most frequent one was pleural opening (17.8%). In the long-term, 6 (18.18%) patients presented Nelson syndrome. One post-operative death (2.2%) occurred due to congestive cardiac failure. Average hospital stay was of 6 days.
Conclusion:
Adrenalectomy is a safe and efficient procedure for the treatment of hypercortisolism. The laparoscopic approach to the suprarenal gland is safe and effective


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