Adrenal cortical adenoma surgery

Adrenal cortical adenoma is a disease that can seriously threaten human health. Once the disease is discovered, timely treatment measures must be taken to treat it. The most direct and effective way to treat adrenal cortical adenoma is surgical treatment, which involves surgical removal of the tumor. In addition, in order to better recover health, relevant nursing work must be done after the operation. If there is no reasonable care, sequelae will be left!

Treatment principles

The principle of treatment for adrenal cortical tumors is surgical resection. When the tumor cannot be removed, drug treatment can be used. Surgery can be performed through a lumbar incision or laparoscopically. The adenoma was removed, and the atrophic adrenal tissue outside the adenoma was retained. Drug treatment. If combined with severe infection, glucocorticoid supplementation therapy should be given.

Surgery

Surgery can be performed through a lumbar incision or laparoscopically. The surgical procedure for adrenal tumor resection should be selected based on the size of the tumor and its benign or malignant nature. If the tumor is large and the possibility of malignancy is high, laparotomy is recommended; if the tumor is small and benign, laparoscopic resection can be considered. When the tumor cannot be removed, adrenal artery embolization can also be considered. If the above methods cannot be used, corticosteroid synthesis inhibitors can be used; corticosteroid synthesis inhibitors can also be used as an auxiliary treatment method, see Drug Treatment of Primary Aldosteronism for details.

Adrenal cortical carcinoma should be surgically removed as early as possible, and the hormone replacement therapy regimen for patients with adrenal cortical insufficiency after surgery is the same as that after adenoma removal. If the function cannot be recovered within 1 to 1.5 years after surgery, lifelong replacement treatment may be required. If the disease cannot be cured or has metastasized, corticosteroid synthesis inhibitors can be used to relieve symptoms. Adrenal tumors in children are mostly malignant and are treated mainly with surgery plus chemotherapy, but high levels of corticosteroids may persist and the tumor is prone to metastasis.

Postoperative precautions

1. After adrenal cancer surgery, if the patient needs major surgery or has severe infection, glucocorticoid supplementation should be given.