Laparoskopická adrenalektomie - indikace a selekcní kritéria
| Title in English | Laparoscopic adrenalectomy - indications and selection criteria |
|---|---|
| Authors | |
| Year of publication | 2012 |
| Type | Article in Periodical |
| Magazine / Source | Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti |
| MU Faculty or unit | |
| Citation | |
| Field | Surgery incl. transplantology |
| Keywords | adrenalectomy; laparoscopy; incidentaloma; hormonal activity; carcinoma |
| Attached files | |
| Description | Laparoscopic adrenalectomy has become a standard surgical procedure for the most of adrenal gland disorders. Hormonal active adenomas, feochromocytomas even some malignant tumors are the most frequent indications. The number of operations for accidentally diagnosed foci has grown rapidly. It has been suggested to revise recommendations specifying criteria, based on which incidentaloma is indicated for adrenalectomy. The aim of this work is to compare the results of adrenalectomies for hormonal active lesions and incidentalomas. Laparoscopic adrenalectomy is a standard procedure in the majority of honnonally active focal suprarenal conditions. Patients with accidentally detected suprarenal tumors should be carefully indicated, taking into consideration internal comorbidities and any surgical procedures in a patient's history. The benefit of adrenalectomy for the clinical condition alteration is arguable in incidentalomas. The National Institutes of Health USA (N1H) consensus guidlines should be strictly followed druing the decision making proces. Indication for adrenalectomy in tumors of less than 6 cm and with benign appearance on CT or MRI is not considered rational. |