DESCRIPTION OF CLINICAL AND PARACLINICAL RESULTS OF LAPAROSCOPIC RETROPERITONEAL RESECTION OF BENIGN ADRENAL ADENOMA AT VIET DUC FRIENDSHIP HOSPITAL IN 2018

The study was conducted with objectives: Describe the clinical and paraclinical results of laparoscopic retroperitoneal resection of benign adrenal tumors at Viet Duc Friendship Hospital in 2018 on 67 patients diagnosed as benign adrenal tumor and was treated with retroperitoneal endoscopic surgery at Viet Duc hospital in 2018. The study design was retrospective. Results: The clinical syndromes of the patients were mainly Cushing's syndrome (3%), Conn's syndrome (29,8%), Pheochromocytome (17,9%) and 49,3% of patients with nonsecretory tumors. . Specific biochemical tests: hypercortisolemia (4,48%); increased blood catecholamines (16,42%) and increased urinary catecholamines (14,93%). Ultrasound: The average tumor size was 20.37 ± 16.05mm; The diagnostic sensitivity was 74,6%. CT or MRI: The mean tumor size was 26.63 ± 12.7mm; highly sensitive and is the gold standard on diagnostic imaging. Conclusion: The clinical and laboratory results of patients undergoing laparoscopic resection of benign adrenal tumors are highly sensitive.

EVALUATING THE RESULTS OF LAPAROSCOPIC SURGERY CUT BENIGN ADRENAL TUMOR RETROPERITONEAL ROAD IN VIETNAM GERMAN FRIENDSHIP HOSPITAL IN 2018

A descriptive regression study evaluating surgical outcomes of 67 patients diagnosed with benign adrenal tumors and treated with retroperitoneal laparoscopic surgery at Viet Duc Hospital in 2018.Results: For Surgical subjects mainly belonged to ASA group I or II, the average surgery time of the study subjects was 71.04 ± 23.50. In the group of pathological tumors, the surgical time of the group of patients with non-secretory tumours was the longest (74.2 ± 23.2 minutes); The operative time of the group of patients with Conn’s disease was the shortest (67.5 ± 26.1 minutes). The averageoperating time of the group of tumors from 1-10mm in size was 60 minutes. 66/67 patients with total thoracic resection due to tumor accounted for 98.5%. Only 1/67 patients with selective resectionof TTT. Out of a total of 67 patients studied, there were 2 patients with subcutaneous emphysema, accounting for 3.0%.

Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report

Background Adrenal hemangioma is a rare benign adrenal tumor that is usually misdiagnosed preoperatively. We here present a case of adrenal cavernous hemangioma that was successfully treated with retroperitoneal laparoscopic adrenalectomy. Case presentation A 67-year-old man with dull right back pain attended our clinic for examination of a mass on the right adrenal gland for 1 week. Pheochromocytoma was considered according to the preoperative computed tomography angiography + computed tomography urography findings and was subsequently corrected to adrenal gland hemangioma according to postoperative pathological findings. The patient showed no recurrence of adrenal hemangioma during the 1-year follow-up period after surgery. Conclusion Adrenal gland hemangioma is rare with a high rate of misdiagnosis, and it should be considered in imaging findings of adrenal tumors with typical hemangioma. Surgery is an effective treatment method.