This study is a review of the surgical experience with adrenal tumors at the department of surgery, Hallym University Hospital during the period from 1980 Oct. through 1990 Aug.
There were 3 cases with Cushing's syndrom, 5 cases with primary aldosteronism, 2 cases with adrenal pseudocyst, one cases with adrenocortical cancer.
The characteristic status of fat deposition(Buffalo hump, moon face, central obsity) were present in Cushing's syndrome. In primary aldosteronism, the chief complaints were hypertension, muscle weakness, and headache. In pheochromocytoma, chief
complaints were abdominal pain, hypertension, and palpitation.
The diagnostic procedures were hormonal & biochemical analysis, abdominal CT, abdominal ultrasonogram, and selective angiogram & venogram.
Surgical approaches performed were flank in 2 and transabdominal in 16 operation.
In preoperative preparation, patrints with Cushing's syndrome was given steroidal supplement prior to operation, and patients with primary aldosteronism was managed with low salt diet, oral KCI regimen and spironolactone until hypokalemia has
been
corrected and blood pressure has decreased.
In patients with pheochromocytoma. Preoperative adrenergic blockade was offective in cases who were managed with a alpha blocker in view of marked blood pressure fluctuation during operation.
Postoperative complication occured in 6 cases(pleural effusion, atelectasis, wound infection).
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