Sormaz Ismail Cem, Tunca Fatih, Poyanlı Arzu, Şenyürek Yasemin Giles
a Istanbul Faculty of Medicine, General Surgery Department , Istanbul University , Istanbul , Turkey.
b Istanbul Faculty of Medicine, Radiology Department , Istanbul University , Istanbul , Turkey.
Acta Chir Belg. 2018 Apr;118(2):113-119. doi: 10.1080/00015458.2017.1312080. Epub 2017 Apr 7.
Transcatheter arterial embolization (TAE) is an effective minimally invasive adjunct to surgery for the management and/or palliation of adrenal tumors.
In this case study, we reported three patients who underwent preoperative TAE before adrenalectomy for large hypervascular adrenal tumors. All patients underwent preoperative embolization 24 h before the operation and were then followed up at the intensive care unit surgery.
The largest diameter of the adrenal lesions ranged between 8 and 17 cm. Hypertensive attack occurred in one patient with pheochromocytoma during embolization. No other complications associated with the procedure was noted. The adrenal tumors were totally excised in all patients. The major intraoperative findings associated with preoperative embolization were marked reduction in hypervascularity and the decrease in the size of collateral vessels. No major hemorrhage necessitating blood transfusion were noted during surgery.
Preoperative embolization of large hypervascular adrenal masses could reduce perioperative blood loss by reducing tumor vascularity.
经导管动脉栓塞术（TAE）是一种有效的微创辅助手术，用于治疗和/或缓解肾上腺肿瘤。
在本病例研究中，我们报告了3例因巨大富血管性肾上腺肿瘤在肾上腺切除术前接受术前TAE的患者。所有患者均在手术前24小时接受术前栓塞，然后在重症监护病房手术后进行随访。
肾上腺病变的最大直径在8至17厘米之间。1例嗜铬细胞瘤患者在栓塞过程中发生高血压发作。未发现与该手术相关的其他并发症。所有患者的肾上腺肿瘤均被完全切除。与术前栓塞相关的主要术中发现是富血管性明显减少和侧支血管大小减小。手术期间未发现需要输血的大出血情况。
大型富血管性肾上腺肿块的术前栓塞可通过减少肿瘤血管来减少围手术期失血。
