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Diagnosis and management of suprarenal incidentalomas at Hospital Universitario Fundación Santa Fe de Bogotá: Experience over ten years
摘要
Aims: This article presents the experience in the diagnosis and surgical management of adrenal incidentalomas between 2005 and 2015, in a reference center of Bogotá, Colombia. Methods: Patients were selected for the data base available in the surgical operating rooms at Hospital Universitario Fundación Santa Fe de Bogotá, between January 2005 and January 2015. An analysis of medical records was made taking into account clinical and surgical variables, complications and patient follow-up. Results: A total of 50 medical records were included in the analysis. The middle-age population had a higher frequency compared with older population. Initial laboratory studies were conducted in 48-70% of the cases. Regards the type of surgical approach, 10% of the adrenalectomy was performed by laparotomy, while 90% was performed through laparoscopic approach. Perioperative and postoperative complications were very low or absent in the overall study population. Conclusion: It was reported a higher prevalence of functional mass, mainly, aldosterone-producing tumor, that was the less frequent in previous studies. The evident increase in the use of conventional laparoscopic opens a panorama to new indications, like a great size or worse malignant potential. Currently, laparoscopy represents the gold standard in the management for adrenal mass.