Results of resection of adrenal tumor by method with initial control of adrenal vessels before removing the tumor

ABSTRACT

Between 1/1994 and 12/2000, 52 patients with 53 adrenal tumors were operated in the Department of Urology - Viet Duc Hospital. Through subcostal approach, the initial control of the main adrenal veins and arteries was performed in 84.6% cases (71% in the right and 100% in the left adrenal tumors). Hemodynamic is maintained at the first day of postoperative period (88.5%). The outcome was good in 96.2% of cases, exception for one death at the third postoperative day by acute adrenal failure and another from prolonged hypertension. No early hemorrhage was observed in the postoperative period. Improved surgical outcomes have been the result of advances in localization techniques, preoperative medical management and anesthetic practice.