Experience in endoscopic treatment of patients with adrenal neoplasms
K. V. Stegniy,
T. A. Kulakova,
E. R. Dvoinikova,
R. A. Goncharuk,
A. M. Morozova,
O. G. Tsygankova,
A. A. Krekoten,
M. O. Dmitriev,
A. K. Soroka,
A. A. Morgun https://doi.org/10.34215/1609-1175-2020-1-55-59
Abstract
Objective: To summarize the experience of endoscopic surgical treatment of patients with adrenal neoplasms.
Methods: The results of treatment of 80 patients (64 women and 16 men) with adrenal neoplasm were retrospectively analyzed in Medical Center, Far Eastern Federal University, from 2014 to 2019.
Results: Andrenalectomies were performed via three accesses: laparoscopic (49 cases), retroperitoneoscopic (22 cases) and laparoscopy-assisted (6 cases). Three cases required conversion. 70 benign and 10 malignant neoplasms were removed. Complications, including one death, developed in four cases.
Conclusions: Minimally invasive andrenalectomy is safer and more preferable than open surgery due to reduced duration of hospital stay, decreased rate of complications, degree of pain syndrome, extent of blood loss and need for opioid analgesics.
About the Authors
K. V. Stegniy
Pacific State Medical University;
Far Eastern Federal University
Russian Federation
Russian Federation
MD, PhD, professor, member of the Russian Academy of Sciences, Director of the Surgery Institute, 2 Ostryakova Ave., Vladivostok, 690002;
head of the Surgery Department, 8 Sukhanova St., Vladivostok, 690950
T. A. Kulakova
Pacific State Medical University;
Far Eastern Federal University
Russian Federation
Russian Federation
assistant at Surgery Institute, 2 Ostryakova Ave., Vladivostok, 690002;
MD, Surgery Department, 8 Sukhanova St., Vladivostok, 690950
E. R. Dvoinikova
Pacific State Medical University;
Far Eastern Federal University
Russian Federation
Russian Federation
MD, PhD, associate professor, 2 Ostryakova Ave., Vladivostok, 690002;
endoscopist, Surgery Department, 8 Sukhanova St., Vladivostok, 690950
R. A. Goncharuk
Pacific State Medical University;
Far Eastern Federal University
Russian Federation
Russian Federation
MD, PhD, associate professor, 2 Ostryakova Ave., Vladivostok, 690002;
surgeon, 8 Sukhanova St., Vladivostok, 690950
A. M. Morozova
Far Eastern Federal University;
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
MD, PhD, professor, Biomedicine School, 8 Sukhanova St., Vladivostok, 690950;
head of the Primorskiy Regional Center of Diabetes and Endocrine Diseases, 55 Russkaya St., Vladivostok, 690105
O. G. Tsygankova
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
MD, head of the Endocrinology Department No. 1,
55 Russkaya St., Vladivostok, 690105
A. A. Krekoten
Pacific State Medical University;
Far Eastern Federal University
Russian Federation
Russian Federation
MD, PhD, associate professor, 2 Ostryakova Ave., Vladivostok, 690002;
surgeon, 8 Sukhanova St., Vladivostok, 690950
M. O. Dmitriev
Far Eastern Federal University
Russian Federation
Russian Federation
MD, PhD, surgeon at Surgery Department,
8 Sukhanova St., Vladivostok, 690950
A. K. Soroka
Far Eastern Federal University
Russian Federation
Russian Federation
MD, PhD, Surgeon at Surgery Department of Far Eastern Federal University Medical Center, associate professor of Biomedicine School,
8 Sukhanova St., Vladivostok, 690950
A. A. Morgun
Far Eastern Federal University
Russian Federation
Russian Federation
MD,
8 Sukhanova St., Vladivostok, 690950
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Review
For citations:
Stegniy K.V., Kulakova T.A., Dvoinikova E.R., Goncharuk R.A., Morozova A.M., Tsygankova O.G., Krekoten A.A., Dmitriev M.O., Soroka A.K., Morgun A.A. Experience in endoscopic treatment of patients with adrenal neoplasms. Pacific Medical Journal. 2020;(1):55-59. (In Russ.) https://doi.org/10.34215/1609-1175-2020-1-55-59
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