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Revista Médica del Uruguay

versión impresa ISSN 0303-3295versión On-line ISSN 1688-0390

Resumen

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

Background:

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

Objective:

to review a casuistry of surgically treated adrenal incidentalomas.

Method:

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

Results:

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.

Discussion:

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

Conclusions:

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

Palabras clave : Adrenal incidentaloma.

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