title: [Laparoscopic transperitoneal adrenalectomy in hormonally-active adrenal tumors].
abstract: Laparoscopic adrenalectomy is considered the "gold standard" in adrenal surgery for benign functioning (and non-functioning) tumors. Laparoscopy meets criteria of miniinvasive surgery with minimal postoperative pain, short hospital stay and an outstanding cosmetic effect, the radicality of the procedure, open surgery and laparoscopy are equally effective. In cooperation with endocrinological department focused on detection of functioning adrenal tumors, the diagnostic and therapeutic procedure seems to be very efficient, so that the primary goal of rapid cure could be achieved. Patients after laparoscopic adrenalectomy mostly do not need chronic antihypertensive medication and only those after bilateral adrenalectomy (Cushing's disease) require life-long low dose hydrocortisone therapy. In pheochromocytomas, total excision of the tumor is considered to be a life-saving procedure, although up to 20% may recur as hereditary or as a part of von Hippel-Lindau's disease.
authors.affiliation: Urologická klinika 1. LF UK a VFN, Praha, prednosta.
authors.forename: L
authors.initials: L
authors.lastname: Safarík
authors.forename: M
authors.initials: M
authors.lastname: Vraný
authors.forename: J
authors.initials: J
authors.lastname: Widimský
authors.forename: J
authors.initials: J
authors.lastname: Dvorácek
authors.forename: K
authors.initials: K
authors.lastname: Novák
authors.forename: J
authors.initials: J
authors.lastname: Dusková
mesh_terms: D000305:Adrenal Cortex Hormones / Q000378:metabolism*; D000310:Adrenal Gland Neoplasms / Q000378:metabolism / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D000368:Aged; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged
chemical_list: D000305:Adrenal Cortex Hormones
vernacular_title: Laparoskopická transperitoneální adrenalektomie u hormonálnĕ aktivních nádorů nadledvin.