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CURRENT ISSUEMINERVA ENDOCRINOLOGICA

A Journal on Endocrine System Diseases

Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,118

Frequency: Quarterly

ISSN 0391-1977

Online ISSN 1827-1634

 

Minerva Endocrinologica 2009 June;34(2):185-93

ADRENAL TUMORS 

    REVIEWS

Surgical techniques for adrenal tumors

Broome J. T., Gauger P.

Department of Surgery, Section of General Surgery, Division of Endocrine Surgery University of Michigan Health System, Ann Arbor, MI, USA

As technology has advanced, the options for the surgical management of adrenal disorders have also increased. An understanding of the basic evaluation of adrenal tumors, patient specific factors, and the risks and benefits of available techniques will allow the clinician to select an appropriate treatment for each individual. Available techniques include open anterior and posterior, transabdominal laparoscopic, retroperitoneal laparoscopic, thoracoabdominal, and even partial adrenalectomy. Surgery remains the mainstay of treatment for functional adrenocortical adenomas including aldosteronomas, cortisol-producing adenomas, and pheochromocytomas. While minimally-invasive techniques offer shorter recovery times and less potential morbidity, more traditional approaches remain necessary for management of known or suspected adrenocortical carcinoma. Except in the case of pheochromocytoma, large adrenal tumors >6 cm should not be removed laparoscopically due to the risk of adrenocortical carcinoma. This article will review basic surgical adrenal disorders, operative approaches, and delineate principles of patient and procedure selection.

language: English


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