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Date Published: 23/09/2022
Abstract Views: 252
Views PDF: 127
DOI: https://doi.org/10.51298/vmj.v518i1.3343
Issue
Vol. 518 No. 1 (2022)
Section
Các bài báo
How to Cite
Trung Thông, P. ., Văn Trọng, N. ., Văn Vụ, K. ., Tiến Trung, N. ., & Anh, H. . (2022). EARLY RESULTS OF LAPAROSCOPIC SURGERY FOR ADRENAL TUMOR IN K HOSPITAL. Vietnam Medical Journal, 518(1). https://doi.org/10.51298/vmj.v518i1.3343

EARLY RESULTS OF LAPAROSCOPIC SURGERY FOR ADRENAL TUMOR IN K HOSPITAL

Phạm Trung Thông1, Nguyễn Văn Trọng2,, Kim Văn Vụ1,2, Nguyễn Tiến Trung1, Hoàng Anh1
1 Vietnam National Cancer Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Objectives: To evaluate initial results of laparoscopic adrenalectomy for adrenal tumor in K hospital. Patients and methods: A cross sectional study on 60 patients with adrenal tumors underwent laparoscopic adrenalectomy in K hospital from 01/2017 to 06/2022. Results: The mean age was 47,5 ± 13,8 (20 – 72 years old), female/male rate was 1.1; medical history including hypertension (25%) and diabetes (11,7%); 15% had previous abdominal surgery; most tumors on the right side (55%); mean tumor size: 4,11±1,42cm; 10% of patients had high catecholamine level (60% of pheochromocytoma tumors). Histopathologically, adrenal cortical tumor was the most common type (58.3%), followed by pheochromocytoma (16.7%) and ganglioneuroma (8.3%). In most cases, the entire gland was removed (58.3%); mean operative time: 100 minutes; the mean time to first passage of flatus: 1,64 ± 0,55 days; hospital day: 4,52 ± 1,03 days. Operative morbidity including hemodynamic disturbance (5%) and hemorrhage (3,3%); no postoperative morbidity and no postoperative mortality. Conclusions: Laparoscopic adrenal for adrenal tumor is a safe, high effective procedure and makes patients have many benifits. We need consider tumor size and system diseases to choose the right method in surgery

Article Details

Keywords

adrenal tumor, laparoscopic adrenalectomy, early result

References

1. Jung-Min Lee, Mee Kyoung Kim, Seung-Hyun Ko, et al, (2017). Clinical Guidelines for the Management of Adrenal Incidentaloma. Endocrinol Metab (Seoul). 32(2), 200-218.
2. Chen Y, Chomsky-Higgins K Scholten A, Nwaogu I, Gosnell JE, Seib C, Shen WT, Suh I, Duh QY, (2018). Risk Factors Associated With Perioperative Complications and Prolonged Length of Stay After Laparoscopic Adrenalectomy. JAMA Surg. 153(11), 1036-1041.
3. Nguyễn Minh Châu, (2014). Nghiên cứu đặc điểm hình ảnh và giá trị của cắt lớp vi tính 64 dãy trong chẩn đoán u tuyến thượng thận. Luận văn Thạc sỹ y học - Đại học Y Hà Nội.
4. Economopoulos KP, Lubitz CC Phitayakorn R, Sadow PM, Parangi S, Stephen AE, Hodin RA, (2016). Should specific patient clinical characteristics discourage adrenal surgeons from performing laparoscopic transperitoneal adrenalectomy? Surgery. 159(1), 240-8.
5. AACE/AAES, (2009). Guidelines for the management of adenal incidentolomees. Endocrine practice. 15(1)
6. Mantero F, Massimo Terzolo, Giorgio Arnaldi, et al, (2000). A Survey on Adrenal Incidentaloma in Italy 2000. The Journal of Clinical Endocrinology & Metabolism 85(2).
7. Ikeda. Y, H. Takami, Y. Sasaki, J. Takayama, (2003). Is Laparoscopic Partial or Cortical-Sparing Adrenalectomy Worthwhile. Eur Surg. 35(2), 89-92.
8. Coste T, Caiazzo R, Torres F, et al, (2017). Laparoscopic adrenalectomy by transabdominal lateral approach: 20 years of experience. Surg Endosc. 31(7), 2743-2751.
9. Đỗ Trường Thành, Trịnh Hoàng Giang, (2013). Đánh giá kết quả điều trị u vỏ tuyến thượng thận bằng phẫu thuật nội soi qua đường bụng. Tạp chí Y học thực hành. 893, 84-86.