The Clinical, Oncological, Functional and Surgical Outcomes of Patients Who Underwent Adrenalectomy

IF 0.1 Q4 ONCOLOGY Uroonkoloji Bulteni-Bulletin of Urooncology Pub Date : 2016-09-30 DOI:10.4274/UOB.691
Ünsal Eroğlu, M. Koparal, I. Üre, S. Çetin, E. C. Bulut, C. Acar, T. Sözen
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Abstract

Summary Oz Results: A total of 88 patients with adrenal masses were endocrinologically evaluated. Fifty nine (67%) patients had functional masses and 29 (33%) patients had non-functional masses. Open transabdominal adrenalectomy and laparoscopic adrenalectomy were performed in 20 (22.7%) and 68 (77.3%) patients, respectively. According to the results of histopathological evaluation, benign and malignant masses were determined in 79 (89.7%) and nine (10.3%) patients, respectively. Bleeding amount and mass size were significantly higher in patients with malignant masses and in patients with functional masses (p=0.003 and p=0.002; p=0.007 and p=0.004, respectively). The duration of operation and hospitalization were significantly longer, and peri-operative complication and blood transfusion rates were significantly higher in patients with malignant masses (p=0.006 and p=0.003; p=0.027 and p=0.001, respectively). Neither functionality nor pathology of adrenal masses had a statistically significant relationship with ASA score and BMI.
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肾上腺切除术患者的临床、肿瘤、功能和手术结果
结果:共88例肾上腺肿块患者进行了内分泌学评估。59例(67%)为功能性肿块,29例(33%)为非功能性肿块。经腹切开肾上腺切除术20例(22.7%),腹腔镜肾上腺切除术68例(77.3%)。根据组织病理学评估结果,良性肿块79例(89.7%),恶性肿块9例(10.3%)。恶性肿块患者的出血量和肿块大小明显高于功能性肿块患者(p=0.003和p=0.002;P =0.007和P =0.004)。恶性肿物患者手术时间和住院时间均明显延长,围手术期并发症和输血率均明显高于恶性肿物患者(p=0.006和p=0.003;P =0.027和P =0.001)。肾上腺肿物的功能和病理与ASA评分和BMI均无统计学意义。
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