Edorium Journal of

Surgery

 
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Original Article
 
Diagnosis and management of suprarenal incidentalomas at Hospital Universitario Fundación Santa Fe de Bogotá: Experience over ten years
Francisco Javier Díaz, Díaz FJ1, Freddy Jean Karlo Toloza Bonilla, Toloza FJK2, Martha Catalina Morales, Morales MC2, Maria Laura Ricardo, Ricardo ML2, Manuel Enrique Cadena, Cadena ME1
1MD, Surgery department. Hospital Universitario Fundación Santa Fe de Bogotá. Associate professor School of Medicine, Universidad de los Andes. Bogotá, Colombia.
2Medicine students, Universidad de los Andes, Bogotá, Colombia.

Article ID: 100014S05FD2016
doi:10.5348/S05-2016-14-OA-4

Address correspondence to:
Freddy Jean Karlo Toloza
Carrera 1 No 18 A - 10 Bloque Q Piso 8
Bogotá
Colombia

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How to cite this article
Díaz FJ, Toloza FJK, Morales MC, Ricardo ML, Cadena ME. Diagnosis and management of suprarenal incidentalomas at Hospital Universitario Fundación Santa Fe de Bogotá: Experience over ten years. Edorium J Surg 2016;5:13–17.


Abstract
Aims: This article presents the experience in the diagnosis and surgical management of adrenal incidentalomas between 2005 and 2015, in a reference center of Bogotá, Colombia.
Methods: Patients were selected for the data base available in the surgical operating rooms at Hospital Universitario Fundación Santa Fe de Bogota, between January 2005 and January 2015. An analysis of medical records was made taking into account clinical and surgical variables, complications and patient follow-up.
Results: A total of 50 medical records were included in the analysis. The middle-age population had a higher frequency compared with older population. Initial laboratory studies were conducted in 48-70% of the cases. Regards the type of surgical approach, 10% of the adrenalectomy was performed by laparotomy, while 90% was performed through laparoscopic approach. Perioperative and postoperative complications were very low or absent in the overall study population.
Conclusion: It was reported a higher prevalence of functional mass, mainly, aldosterone-producing tumor, that was the less frequent in previous studies. The evident increase in the use of conventional laparoscopic opens a panorama to new indications, like a great size or worse malignant potential. Currently, laparoscopy represents the gold standard in the management for adrenal mass.

Keywords: Adrenal incidentalomas, Cushing syndrome, Myelolipoma, Pheochromocytoma


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Author Contributions:
Francisco Javier Díaz – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Martha Catalina Morales – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Maria Laura Ricardo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Manuel Enrique Cadena – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Francisco Javier Díaz et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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