Adrenalectomia videolaparoscópica versus técnica aberta no tratamento de lesões adrenais maiores ou iguais a 5 cm

Abstract

The adrenal glands are responsible for the secretion of corticosteroids, androgens, catecholamines and aldosterone. Therefore, complications at systemic levels can be observed in the lesions, even requiring surgical procedures such as adrenalectomy via laparoscopy, open or robotic, for treatment. In this sense, the study aims to analyze the clinical profile of patients undergoing adrenalectomy at the Hospital de Clínicas de Passo Fundo. Methods: This is a cross-sectional study, which, through research in medical records, collected data regarding the clinical profile of these patients, from 2012 to 2022. From the data collected, a descriptive analysis of the sample was carried out. Result: In total, 17 patients were included in the study, of which 58.8% were women, 52.9% were between 41 and 60 years old and 82.4% were white; Among the total number of patients, 70.6% had some type of comorbidity, and of these, 91.7% had systemic arterial hypertension, with 54.5% of these patients taking a combination of 2 drugs to control it; adenoma and pheochromocytoma were the most common lesions, with 17.6% each, and both sides had the same number of lesions; in 58.8% of cases the lesions were smaller than 5cm; all approaches were via laparoscopy and the average hospital discharge time was 24 to 48 hours. Conclusions: the data revealed a higher prevalence of adenomas and pheochromocytomas, affecting the majority of women, ranging from 41 to 60 years old, with systemic arterial hypertension being the most common clinical presentation, and videolaparoscopic adrenalectomy the surgical procedure most used in the treatment of these injuries; Furthermore, more studies are needed to outline the profile of these patients