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Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390


CHINELLI, Javier  and  RODRIGUEZ, Gustavo. Adrenal incidentalomasurgery. Rev. Méd. Urug. [online]. 2017, vol.33, n.4, pp.29-42. ISSN 0303-3295.


the incidence of adrenal incidentalomas has increased with the use of modern imaging techniques and surgical indication is based on suspected malignancy or hyperfunction.


to review a casuistry of surgically treated adrenal incidentalomas.


16 patients operated between 2010 and 2016 in two health care institutions. The study describes diagnostic aspects, operative techniques and morbimortality of the procedures.


most of the procedures were performed by laparoscopic approach, 3 intraoperative complications arose, there being no deaths in the series. The most frequently encountered lesion was non-functioning adenoma.


imaging constitutes the diagnostic key which results essential to make a decision as to whether to follow or operate an adrenal incidentaloma. Follow-up protocols are still under discussion, as is indication of surgery in subclinical functional lesions


laparoscopic adrenalectomy is a safe surgery, with morbidity and mortality rates which lie within the range described by relevant literature.

Keywords : Adrenal incidentaloma.

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