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vol.66 número3HALLAZGOS HISTOLÓGICOS GÁSTRICOS EN OBESOS MORBIDOS SOMETIDOS A GASTRECTOMÍA VERTICAL LAPAROSCÓPICA: Pathological findings in resected gastric segments after laparoscopic sleeve gastrectomyCARACTERÍSTICAS CLÍNICO-PATOLÓGICAS Y SOBREVIDA DE PACIENTES CON CÁNCER DE MAMA BILATERAL SINCRÓNICO índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

CASTILLO C, Octavio A; LOPEZ-VALLEJO C, Jorge; BORGNA C, Vincenzo  y  YANEZ P, Ricardo. Laparoscopic surgery of adrenal cysts: results of a series of 18 patients. Rev Chil Cir [online]. 2014, vol.66, n.3, pp.231-235. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262014000300007.

Introduction: Adrenal cysts have an incidence of 0.064% to 0.18% at autopsy. Aim: To show our experience in 18 patients with an adrenal cyst operated by laparoscopy. Material and Methods: The series consisted of 18 patients operated, in a series of 344 laparoscopic adrenalectomy performed between 1993 and 2011. The age range was 20 to 61 years with an average of 38 years, 11 women and 7 men. Results: Thirteen cysts were left and 5 were right sided. The lesion size varied between 4.5 and 12.5 cm, with an average of 9.2 cm. Eight patients complained of abdominal discomfort and in the remaining 12 patients there were no signs or symptoms of clinical suspicion. The surgery performed was a laparoscopic decortication-marsupialization in 11 patients, laparoscopic adrenalectomy in 8 cases and partial adrenalectomy in 1 case. Mean operative time was 83.1 minutes (30-180 minutes), and mean hospital stay was 36 hours. Intraoperative complications occurred in 2 patients: 1 diaphragm injury and one renal vein injury, repaired in the same surgery. Postoperative complications occurred in 2 patients, both Clavien 3a, treated by conservative management. Conclusion: Small and non-functional lesions require observation. Partial or total laparoscopic adrenalectomy is indicated in large lesions or in functional and suspected malignant lesions.

Palabras clave : Adrenal cyst; adrenal neoplasm; adrenal surgery; laparoscopy.

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