지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.12
- 수록면
- 138 - 142 (5page)
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초록· 키워드
오류제보하기
Purpose: In this study, we reviewed 16 cases of adrenalectomy, focusing specifically on the surgical outcomes and clinical courses.
Methods: The data from 16 patients who underwent an adrenalectomy at our hospital between January 2007 to December 2016 were retrospectively analyzed based on their medical records. Data available for each patient included age, sex, tumor location, length of postoperative hospital stay, tumor size, tumor pathology, final diagnosis, operation time, operative blood loss, and type of operation.
Results: The study population consisted of eight males and eight females, with a mean age of 58.00±11.34 years (range, 33–76 years). The mean tumor size was 2.78±2.02 cm (range, 0.5–7 cm). Fourteen patients were diagnosed with functional adrenal tumors and two with nonfunctional adrenal tumors. Compared to laparoscopic adrenalectomy, open surgery resulted in a statistically significantly longer operating time, increased operative blood loss, and a longer postoperative hospital stay.
Conclusion: If the hormonal activity of adrenal tumors is not confirmed, the tumor should be considered functional when accompanied by related symptoms and an adrenalectomy should be performed. In addition, we suggest that a laparoscopic adrenalectomy is superior to an open adrenalectomy in terms of recovery after surgery, despite the small number of cases evaluated. Open adrenalectomy should be considered following comprehensive consideration of the patient’s condition, such as accompanying surgery or metastatic cancer.
Methods: The data from 16 patients who underwent an adrenalectomy at our hospital between January 2007 to December 2016 were retrospectively analyzed based on their medical records. Data available for each patient included age, sex, tumor location, length of postoperative hospital stay, tumor size, tumor pathology, final diagnosis, operation time, operative blood loss, and type of operation.
Results: The study population consisted of eight males and eight females, with a mean age of 58.00±11.34 years (range, 33–76 years). The mean tumor size was 2.78±2.02 cm (range, 0.5–7 cm). Fourteen patients were diagnosed with functional adrenal tumors and two with nonfunctional adrenal tumors. Compared to laparoscopic adrenalectomy, open surgery resulted in a statistically significantly longer operating time, increased operative blood loss, and a longer postoperative hospital stay.
Conclusion: If the hormonal activity of adrenal tumors is not confirmed, the tumor should be considered functional when accompanied by related symptoms and an adrenalectomy should be performed. In addition, we suggest that a laparoscopic adrenalectomy is superior to an open adrenalectomy in terms of recovery after surgery, despite the small number of cases evaluated. Open adrenalectomy should be considered following comprehensive consideration of the patient’s condition, such as accompanying surgery or metastatic cancer.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Gagner M / 1992 / Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma / N Engl J Med 327 : 1033 ~
[학술지(정기간행물)] - Miccoli P / 2002 / Adrenal surgery before and after the introduction of laparoscopic adrenalectomy / Br J Surg 89 : 779 ~ 782
[학술지(정기간행물)] - Ortega J / 2002 / Cost-effectiveness of laparoscopic vs open adrenalectomy: small savings in an expensive process / J Laparoendosc Adv Surg Tech A 12 : 1 ~ 5
[학술지(정기간행물)] - Lee J / 2008 / Open and laparoscopic adrenalectomy: analysis of the National Surgical Quality Improvement Program / J Am Coll Surg 206 : 953 ~ 959
[학술지(정기간행물)] - Duh QY / 1996 / Laparoscopic adrenalectomy. Comparison of the lateral and posterior approaches / Arch Surg 131 : 870 ~ 875
[학술지(정기간행물)] - Miccoli P / 2002 / Adrenal surgery before and after the introduction of laparoscopic adrenalectomy / Br J Surg 89 : 779 ~ 782
[학술지(정기간행물)] - Ortega J / 2002 / Cost-effectiveness of laparoscopic vs open adrenalectomy: small savings in an expensive process / J Laparoendosc Adv Surg Tech A 12 : 1 ~ 5
[학술지(정기간행물)] - Lee J / 2008 / Open and laparoscopic adrenalectomy: analysis of the National Surgical Quality Improvement Program / J Am Coll Surg 206 : 953 ~ 959
[학술지(정기간행물)] - Duh QY / 1996 / Laparoscopic adrenalectomy. Comparison of the lateral and posterior approaches / Arch Surg 131 : 870 ~ 875
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UCI(KEPA) : I410-ECN-0101-2018-514-001685109