Vol 66, No 5 (2015)
Case report
Published online: 2015-10-12

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Laparoscopic treatment of adrenal cysts — own research and literature review

Ryszard Pogorzelski, Sadegh Toutounchi, Ewa Krajewska, Patryk Fiszer, Janusz Pachucki, Tomasz Bednarczuk, Izabela Łoń, Zbigniew Gaciong, Bogdan Marek, Maciej Skórski
DOI: 10.5603/EP.2015.0057
Pubmed: 26457502
Endokrynol Pol 2015;66(5):469-472.

Abstract

Material and methods: Over the last 18 months we operated on six patients with large adrenal gland cysts in our centre. This consisted of 8.2% of all patients treated in said period due to adrenal gland pathologies. On ruling out malignancy or parasitic nature of the lesions, all patients were surgically treated in order to excise the cysts while leaving the gland untouched. In five patients the cysts were resected but the adrenal gland was spared. However, in one patient the adrenal gland coated the entire cystic mass, which imposed performance of adrenalectomy in addition to cystectomy. During surgeries we tried not to clip the suprarenal vein, which we managed to do in four out of six cases.

Results: A one-year remote follow-up period revealed no cyst recurrence in ultrasound or CT, and it was possible to visualise the remaining part of the adrenal gland in all cases.

Conclusion: Thus, in our opinion resection of benign cysts is well justified and recommendable. (Endokrynol Pol 2015; 66 (5): 469–472)