Abstract：
INTRODUCTION:Surgeries that spare the adrenal cortex during adrenalectomy have profound justification. Indications for this type of surgery are fairly strict, and more than 30 years of observations continuously verify the results of the procedure. MATERIAL AND METHODS:Of a total of 650 adrenalectomies, 22 (3.4%) were adrenal cortex-sparing surgeries. There were 16 women and six men in this group. In 10 cases, surgery was performed for pheochromocytoma, eight cases involved Conn's syndrome, and in four cases - paragangliomas located in the para-adrenal region. Secretory activity was identified in all cases. RESULTS:Laparoscopic partial adrenalectomy was performed in 20 patients. Conversion to open laparotomy was necessary in two cases. In patients after bilateral resection of pheochromocytoma surgery, glucocorticoids were supplemented for six weeks. No significant surgical complications were observed in this group. CONCLUSIONS:Partial adrenalectomy for minor lesions should be a much more commonly utilised treatment method (of choice). Where bilateral adrenalectomy is necessary, a sparing procedure on one side protects patients from the need for hormonal substitution. The remaining part of the adrenal gland undertakes satisfactory secretory function after six weeks at the latest.
journal_name
Endokrynol Poljournal_title
Endokrynologia Polskaauthors
Toutounchi S,Pogorzelski R,Wołoszko T,Krajewska E,Celejewski K,Legocka M,Jakuczun W,Gałązka Zdoi
10.5603/EP.a2020.0033subject
Has Abstractpub_date
2020-01-01 00:00:00pages
388-391issue
5eissn
0423-104Xissn
2299-8306pii
VM/OJS/J/68345journal_volume
71pub_type
杂志文章abstract：:Polycystic ovary syndrome (PCOS) diagnosis and therapy still arouse a lot of controversy. Each year brings new information, so, having collected the experience of three scientific societies, we present contemporary recommendations concerning PCOS diagnostics and treat-ment. In adult female diagnosis, we still use the ...
journal_title：Endokrynologia Polska
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journal_title：Endokrynologia Polska
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doi：
更新日期：2005-09-01 00:00:00
abstract：:A group of 153 patients with scintigraphically detected autonomic "hot" nodules of the thyroid has been subjected to clinical and histopathological analysis. Substantial part of these patients (30.1%) had hyperthyroidism, partly (in 19.9% of cases) in the form of the thyrocardiac syndrome. A most frequent histopatholo...
journal_title：Endokrynologia Polska
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journal_title：Endokrynologia Polska
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journal_title：Endokrynologia Polska
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更新日期：1991-01-01 00:00:00
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journal_title：Endokrynologia Polska
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更新日期：2010-01-01 00:00:00
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doi：
更新日期：2009-03-01 00:00:00
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pub_type： 杂志文章,评审
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doi：
更新日期：2007-11-01 00:00:00
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journal_title：Endokrynologia Polska
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更新日期：2005-05-01 00:00:00
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journal_title：Endokrynologia Polska
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