Publication details

Laparoskopická adrenalektomie - indikace a selekcní kritéria

Title in English Laparoscopic adrenalectomy - indications and selection criteria
Authors

PROCHÁZKA Vladimír KALA Zdeněk JÍRA Miroslav STARÝ Karel BOHATÁ Šárka PENKA Igor

Year of publication 2012
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
MU Faculty or unit

Faculty of Medicine

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.

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