The Use of Three-dimensional Printers for Partial Adrenalectomy: Estimating the Resection Limits

Urology
Victor SrougiJose L Chambô

Abstract

To avoid hormonal replacement after partial adrenalectomy (PA), establishing the precise limit of an adrenal gland resection is essential. Herein, we evaluated the use of three-dimensional (3D) adrenal gland printing and volumetry measurement before PA to improve the determination of the remnant gland volume. Concomitant total adrenalectomy and a contralateral PA were performed in a patient with primary macronodular adrenal hyperplasia that exhibited mild hypercortisolism, arterial hypertension, and diabetes. Before surgery, a 3D replica of the adrenal gland to be partially resected was printed and given to the surgeon. The volumetry of the gland was measured by computed tomography 3D image reconstruction. No postoperative complications were noted. Immediately after the surgery, the patient initiated corticosteroid replacement, which was interrupted 52 days later. At the 6-month follow-up, the patient stopped using medications for diabetes and reduced the number of antihypertensive medications from 5 to 1. The pre- and postoperative serum cortisol levels were, respectively, 28 and 8.7 mcg/dl (n 5-25 mcg/dl). The pre- and postoperative adrenocorticotropic hormone levels were, respectively, <5 and 88 pg/ml (n 7.2-63 pg/ml). The p...Continue Reading

References

Jun 18, 2005·Urology·Eric K DinerMcClellan M Walther
Jun 16, 2010·The Journal of Urology·Deborah R KayeGennady Bratslavsky
Mar 2, 2012·Journal of Maxillofacial and Oral Surgery·Pushkar MehraMohammed Nadershah
Nov 10, 2013·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Tadashi AkibaTakuya Inagaki
Nov 10, 2013·Pediatric Radiology·Zbigniew A StarosolskiAnanth Annapragada
Apr 18, 2014·Current Opinion in Endocrinology, Diabetes, and Obesity·Agostino De VenanziAndré Lacroix
Jun 3, 2014·The Annals of Thoracic Surgery·Daniel SchmaussRalf Sodian
Feb 15, 2015·International Journal of Surgery·Vinayak NagarajaSenarath Edirimanne

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Citations

Apr 3, 2016·Urology·Mohamed H Kamel, Nabil K Bissada
Feb 7, 2018·Nature Reviews. Urology·Marc ColacoAnthony Atala
May 1, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Victor SrougiJosé L Chambô
Jun 8, 2017·Biofabrication·Chya-Yan Liaw, Murat Guvendiren
Mar 21, 2020·Frontiers in Bioengineering and Biotechnology·Peng LiuJiayuan Zhu
Jun 26, 2020·Frontiers in Surgery·David A P MathewsMarc Lucky
May 12, 2018·European Journal of Endocrinology·Isabelle BourdeauAndré Lacroix
Jul 30, 2020·Journal of the Endocrine Society·Fabio Yoshiaki TannoMaria Candida Barisson Villares Fragoso
Dec 13, 2017·Pediatric Blood & Cancer·Óscar Girón-VallejoJosé I Ruiz-Jiménez
Jul 13, 2021·Journal of Materials Research·Georges E DaoudKyle K VanKoevering

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