PD04-07 ANALYSIS OF HIGH-RISK FACTORS FOR ADRENAL CRISIS AFTER ADRENAL SURGERY

Abstract

You have accessJournal of UrologyCME1 May 2022PD04-07 ANALYSIS OF HIGH-RISK FACTORS FOR ADRENAL CRISIS AFTER ADRENAL SURGERY Quanliang Liu, Yuhua Zou, Xiaofeng Zou, Guoxi Zhang, Yuanhu Yuan, Rihai Xiao, Gengqing Wu, Biao Qian, Xiaoning Wang, and Hui Xu Quanliang LiuQuanliang Liu More articles by this author , Yuhua ZouYuhua Zou More articles by this author , Xiaofeng ZouXiaofeng Zou More articles by this author , Guoxi ZhangGuoxi Zhang More articles by this author , Yuanhu YuanYuanhu Yuan More articles by this author , Rihai XiaoRihai Xiao More articles by this author , Gengqing WuGengqing Wu More articles by this author , Biao QianBiao Qian More articles by this author , Xiaoning WangXiaoning Wang More articles by this author , and Hui XuHui Xu More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002519.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To summarize the clinical characteristics, diagnosis and treatment experience of secondary adrenal crisis after adrenal tumor resection, and to explore its related risk factors. METHODS: The clinical data of 235 patients undergoing adrenal tumor resection in theDepartment of Urology of the First Affiliated Hospital of Gannan MedicalUniversity from January 2015 to April 2021 were retrospectively analyzed.Logistic regression was used to analyze the related risk factors of adrenalcrisis after adrenalectomy.This study was approved by the Hospital Ethics Committee. RESULTS: The age ranged from 21 to65 years (mean 47 years). 136 males and 99 females. Among them, 149 casesunderwent retroperitoneal laparoscopic adrenalectomy, 69 cases underwenttransabdominal laparoscopic adrenalectomy, and 17 cases underwentrobot-assisted laparoscopic adrenalectomy. Among them, 80 cases were cortisoladenoma, 4 cases were adrenalcortical carcinoma, 115 cases were aldosteroneadenoma, 26 cases were pheochromocytoma, and 10 cases were bilateral adrenalcortical hyperplasia. The diameter of the tumor was 1.5-11 cm, including 16patients with adrenal crisis (9 males and 7 females). Logistic regressionanalysis showed that age, tumor size, operation side, operation mode, operationtime and intraoperative blood loss had no significant correlation with theoccurrence of adrenal crisis. Preoperative infection, adrenal cortical tumor,preoperative ACTH level, preoperative blood glucose abnormality, intraoperativenon-preventive corticosteroids and previous history of adrenal crisis were highrisk factors for adrenal crisis after adrenal tumor operation. CONCLUSIONS: Adrenal crisis is morelikely to occur after adrenal tumor resection in patients with preoperativeinfection, adrenal cortical tumors and low levels of ACTH, diabetes andprevious history of adrenal crisis. Postoperative vital signs should be closelyobserved and hormones should be supplemented in time to avoid adverse events. Source of Funding: National Natural Science Foundation of China (81860456, 81760462) © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e51 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Quanliang Liu More articles by this author Yuhua Zou More articles by this author Xiaofeng Zou More articles by this author Guoxi Zhang More articles by this author Yuanhu Yuan More articles by this author Rihai Xiao More articles by this author Gengqing Wu More articles by this author Biao Qian More articles by this author Xiaoning Wang More articles by this author Hui Xu More articles by this author Expand All Advertisement PDF DownloadLoading ...