Describe the role of CT-guided percutaneous ablation in the treatment of functioning adrenal adenomas. Compare the efficacy and safety between laparoscopic resection and CT-guided percutaneous ablation in treating adrenal adenoma.
The radiofrequency ablation has been applied to functional adrenal tumors,
and primary carcinoma,
with good initial responses and low adverse effects. The use of radiofrequency ablation to treat adrenal nodules is still an uncommon procedure,
particularly in aldosterone-producing adenomas. This is a promising and less invasive treatment option for adrenal nodules,
which presents lower complication rates,
being the most common pneumothorax and retroperitoneal hematoma....
Findings and procedure details
The effectiveness of ablation treatment is significantly dependent on tumor size.
Lesions up to 3 cm undergo complete ablation,
while a larger lesions may require multiple RFA treatment to prevent recurrence. The patient are put into the prone position on CT scanner examination table afterdeep sedation with continuous monitoring of blood pressure,
electrocardiography (ECG) tracing,
and oxygen saturation. During the procedure,
hypertensive peaks can occur and are treated by the...
Percutaneous ablation is a promising technique and may be an alternative choice to surgical resection in the treatment of adrenal adenomas. It has been shown in the literature as a feasible method for treating small adrenal adenomas,
with a high overall success. This is a safe,
extremely accurate and less invasive treatment option for the adrenal adenomas,
which presents lower complication rates compared to surgical resection.
Sung‐Lang Chen; Comparison of radiofrequency ablation versus laparoscopic adrenalectomy for benign aldosterone‐producing adenoma ; Italian Society of Medical Radiology; June 2016 Shirley Yuk Wah Liu,
Charmant Cheuk Man Chu,
Teresa Kam Chi Tsui,
Simon Kin Hung Wong,
Alice Pik Shan Kong ,
Philip Wai Yan Chiu,
Francis Chun Chung Chow,
Enders Kwok Wai Ng; Aldosterone-producing adenoma in Primary aldosteronism: CT-guided Radiofrequency...