KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT MỘT SỐ U THƯỢNG THẬN THƯỜNG GẶP TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: Evaluation of results after adrenalectomy surgery at Military Central Hospital 108. Subjects and methods: Descriptive study, 1-month postoperative follow-up on 70 patients with adrenal tumors treated at Central Military Hospital 108 from January 2023 to June 2024. Results: In the group of Primary aldosteronism, the rate of patients with hypertension decreased from 100% to 19%; the rate of patients with hypokalemia decreased from 90.5% to 9.5%; patients with hypertension after surgery all had a reduction in the amount of medication needed. In the group of Cushing's syndrome, the cortisol concentration 8 hours after surgery decreased compared to before surgery; all patients had adrenal insufficiency after surgery. In the group of pheochromocytoma, before surgery 75% of patients had hypertension, after surgery this rate was only 25%. In the group of incidentally discovered adrenal tumors, 1 month after surgery, 26.8% of patients had adrenal insufficiency. Conclusion: Treatment of adrenal tumors includes medical and surgical treatment. Surgery helps to eliminate conditions related to excess hormones in most patients. Medical treatment before and after surgery to address conditions such as adrenal insufficiency and electrolyte disturbances.