{"id":78372,"date":"2018-06-21T12:36:19","date_gmt":"2018-06-21T12:36:19","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/adrenalectomia-laparoscopica-tratament-pentru-boala-suprarenala-nodulara\/"},"modified":"2018-06-21T12:36:19","modified_gmt":"2018-06-21T12:36:19","slug":"adrenalectomia-laparoscopica-tratament-pentru-boala-suprarenala-nodulara","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/treatments\/adrenalectomia-laparoscopica-tratament-pentru-boala-suprarenala-nodulara\/","title":{"rendered":"Adrenalectomia laparoscopic\u0103 (tratament pentru boala suprarenal\u0103 nodular\u0103)"},"content":{"rendered":"<h2 id=\"diagnosticul-cum-se-diagnosticheaza-boala-suprarenala\">Diagnosticul: cum se diagnosticheaz\u0103 boala suprarenal\u0103?<\/h2>\n<p>&nbsp;<\/p>\n<p>Diagnosticul se bazeaz\u0103 pe constat\u0103rile clinice, pe testele de laborator \u0219i pe studiile de imagistic\u0103 (RMN, scanarea CT, investiga\u021bii \u00een medicina nuclear\u0103, cum ar fi scintigrafia sau PET). Este esen\u021bial s\u0103 se stabileasc\u0103 o cooperare \u00eentre diferi\u021bi speciali\u0219ti, inclusiv endocrinologi, radiologi, medici nucleari, geneticieni \u0219i chirurgi.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"cum-tratam-boala-suprarenala\">Cum trat\u0103m boala suprarenal\u0103?<\/h2>\n<p>&nbsp;<\/p>\n<p>Boala suprarenal\u0103 nodular\u0103 cu indica\u021bie chirurgical\u0103 poate fi tratat\u0103 \u00een majoritatea cazurilor cu interven\u021bia adrenalectomiei laparoscopice: adenoamele, leziunile adrenoamelor care func\u021bioneaz\u0103, feocromocitomul sau bilaterale (hiperplazia suprarenal\u0103 nodular\u0103, boala lui Cushing recidivat\u0103 dup\u0103 opera\u021bia pituitar\u0103). Chirurgia deschis\u0103 tradi\u021bional\u0103 sau, \u00een cazuri foarte selectate, \u00eenghe\u021barea (crioabla\u021bia) leziunilor suprarenale sunt strategii terapeutice mai pu\u021bin frecvente.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00cen timpul interven\u021biei adrenalectomiei laparoscopice, pacientul este supus anesteziei generale \u0219i pozi\u021bionat pe o partea dup\u0103 prepararea farmacologic\u0103 corespunz\u0103toare. \u00cen cazul feocromocitomului, pacientul este preg\u0103tit pentru interven\u021bie cu a-blocante (doxazosin, fenoxibenzamin\u0103) pentru a ob\u021bine o presiune apropiat\u0103. Este posibil s\u0103 fie necesare alte medicamente \u00een anumite condi\u021bii (de exemplu, blocante B, blocante ale canalelor de calciu).<\/p>\n<p>&nbsp;<\/p>\n<p>\u00cen cazul aldosteronismului primar, controlul presiunii se realizeaz\u0103 prin administrarea unui antagonist de aldosteron, posibil asociat cu integrarea cu potasiu \u00een caz de hipokaliemie.<\/p>\n<p>&nbsp;<\/p>\n<p>\u00cenainte de interven\u021bia chirurgical\u0103, un pacient cu cateter vezical este plasat atunci c\u00e2nd pacientul este adormit. De obicei, 4 p\u00e2n\u0103 la 5 mici incizii sunt folosite pentru a introduce instrumente laparoscopice. Chirurgia poate fi efectuat\u0103 cu acces transperitoneal sau retroperitoneal pe baza unei evalu\u0103ri atent preoperatorii. \u00cen anumite cazuri, se poate recurge la \u00eendep\u0103rtarea par\u021bial\u0103 a glandei suprarenale. Durata medie a interven\u021biei chirurgicale de adrenalectomie este de aproximativ 2 ore.<\/p>\n<p>&nbsp;<\/p>\n<p>La sf\u00e2r\u0219itul interven\u021biei chirurgicale, se pune un canal de scurgere \u0219i se las\u0103 s\u0103 fie \u00eendep\u0103rtat la 2-3 zile dup\u0103 opera\u021bie. Intervalul postoperator mediu de spitalizare este de 3-4 zile. Pacientul este \u00een m\u0103sur\u0103 s\u0103 mearg\u0103, s\u0103 se hr\u0103neasc\u0103 \u00een prima zi postoperatorie \u0219i poate fi administrat\u0103 eventual o terapie de substitu\u021bie.<\/p>\n<p>&nbsp;<\/p>\n<p>Dup\u0103 \u00eendep\u0103rtarea unui cortizol secretor de adenom, pacientul dezvolt\u0103 un hipoadrenalism ca urmare a e\u0219ecului temporar al glandei suprarenale, care poate necesita, de asemenea, luni de reactivare. \u00cen aceast\u0103 perioad\u0103 pacientul trebuie s\u0103 ia terapia cu cortizon.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"cum-voi-fi-urmarit-dupa-adrenalectomia-laparoscopica\">Cum voi fi urm\u0103rit dup\u0103 adrenalectomia laparoscopic\u0103?<\/h2>\n<p>&nbsp;<\/p>\n<p>Urm\u0103rirea dup\u0103 interven\u021bia chirurgical\u0103 a bolii adrenocortical\u0103 nodular\u0103 este divizat\u0103 \u00een principiu \u00een dou\u0103 categorii, pe baza examenului histologic.<\/p>\n<p>\u00cen cazul bolii benigne (adenom adrenal), pe baza performan\u021belor testelor de laborator \u0219i a ultrasunetelor abdominale, urm\u0103rirea trebuie efectuat\u0103 de obicei la una \u0219i trei luni dup\u0103 interven\u021bia chirurgical\u0103. Urmat\u0103 de vizitele \u00een ambulatoriu, controlul endocrinologic, \u00een absen\u021ba unor probleme specifice, poate continua s\u0103 fie am\u00e2nat \u00een timp.<\/p>\n<h2 id=\"rezultatele-noastre\">Rezultatele noastre<\/h2>\n<p>Facilitatea noastr\u0103 are adrenalectomia laparoscopic\u0103 ca tehnic\u0103 stabilit\u0103 \u00eenc\u0103 din 1992 (prima \u00een Europa) cu aproximativ 400 de cazuri tratate. Aceast\u0103 serie a fost deseori subiectul numeroaselor publica\u021bii \u0219i prezent\u0103ri la principalele conferin\u021be urologice na\u021bionale \u0219i interna\u021bionale.\u00a0\u00a0\u2022 www.ncbi.nlm.nih.gov\/pubmed\/11490226\u00a0\u2022 www.ncbi.nlm.nih.gov\/pubmed\/14690487<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-78372","cure","type-cure","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Adrenalectomia laparoscopic\u0103 (tratament pentru boala suprarenal\u0103 nodular\u0103) - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adrenalectomia laparoscopic\u0103 (tratament pentru boala suprarenal\u0103 nodular\u0103) - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Diagnosticul: cum se diagnosticheaz\u0103 boala suprarenal\u0103? &nbsp; Diagnosticul se bazeaz\u0103 pe constat\u0103rile clinice, pe testele de laborator \u0219i pe studiile de imagistic\u0103 (RMN, scanarea CT, investiga\u021bii \u00een medicina nuclear\u0103, cum ar fi scintigrafia sau PET). 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