Surgical Treatment of Different Adrenal Disorders

Surgical Treatment of Different Adrenal Disorders

This study reviews clinical data to determine the surgical outcome of different adrenal disorders. Over 14 years, 17 patients with adrenal disorders were treated. Nine patients underwent adrenalectomy alone, and eight patients underwent concurrent adrenalectomy with resections of other organs. The mean age of the patients was 57.5 years (range: 24 to 82 years): six females and 11 males. Adrenalectomy alone was performed using a retroperitoneal approach, with no surgical complications or hospital deaths related to adrenalectomy being reported. The average postoperative hospital stay was 6.7 days (range: 2 to 22 days). Three patients with pheochromocytoma, who were younger than the others, had well-controlled blood pressure after the adrenalectomy. Three patients with hepatoma metastasis or invasion of the adrenal gland survived for more than one year, and two patients with lung cancer and adrenal gland metastasis survived for one year. The patient in whom gastric cancer was invading the adrenal gland survived for one and a half year. Other patients with benign adrenal tumor, including two lung cancer patients and one esophageal cancer patient, had favorable outcomes after the adrenalectomy. One patient survived for more than 14 years.