A case of successful surgical treatment of patient with adrenal cyst using 3-d modeling

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Abstract


Aim. Demonstration of potentials of preoperative planning and implementation of surgical resection in patients with adrenal cysts.

A clinical observation of a successful surgical treatment of a rare pathology – cyst of the right adrenal is presented. The choice of surgical treatment tactics is determined by the size of tumor and clinical presentation of the disease. The surgical treatment was accomplished laparoscopically which permitted to reduce the time of recovery and rehabilitation of the patient. In this clinical observation, the benefit of using 3D-modeling of the surgical area was shown for visualization of topographic and anatomic peculiarities and facilitation of the intraoperative navigation with the help of Avtoplan program developed by Samara State Medical University.

Conclusion. Preoperative 3D-modeling permits to prepare to surgical intervention taking into account individual anatomic peculiarities of a patient, and to determine the optimal volume of the operation.


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About the authors

Ivan S. Andreev

Samara State Medical University

Email: ivan0479@yandex.ru
ORCID iD: 0000-0002-2736-9196
SPIN-code: 8875-4624

Russian Federation, Samara

MD, PhD, Surgeon of the Hospital Surgery Clinic

Alexander V. Kolsanov

Samara State Medical University

Email: info@samsmu.ru
ORCID iD: 0000-0002-4144-7090
SPIN-code: 2028-6609
ResearcherId: B 6050-2018

Russian Federation, Samara

MD, PhD, Professor of the RAS, Head of the Department of Operative Surgery and Topographic Anatomy with the Course of Innovative Technologies, Rector

Sergey E. Katorkin

Samara State Medical University

Email: katorkinse@mail.ru
ORCID iD: 0000-0001-7473-6692
SPIN-code: 7259-3894
ResearcherId: A-7606-2016

Russian Federation, Samara

MD, PhD, Associate Professor, Head of the Department and Clinic of Hospital Surgery

Evgeniy V. Shestakov

Samara State Medical University

Email: evgenij63@rambler.ru
ORCID iD: 0000-0003-2941-6141
SPIN-code: 8152-6991

Russian Federation, Samara

Head of the Surgical Department of the
Hospital Surgery Clinic

Leonid A. Lichman

Samara State Medical University

Author for correspondence.
Email: lichman163@gmail.com
ORCID iD: 0000-0002-4817-3360
SPIN-code: 2380-0840
ResearcherId: С-3376-2018

Russian Federation, Samara

MD, PhD, Assistant of the Department and Clinic of Hospital Surgery

References

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  2. Krasilnikov DM, Malova II, Dzamukov RA, et al. Adrenal cyst complicated by hemorrhage. Pirogov Russian Journal of Surgery. 2017;(10):97-9. (In Russ). doi: 10.17116/hirurgia20171097-99
  3. Malkhasyan VA, Semenyakin IV, Andreev RYu, et al. Laparoscoping deroofing of renal cysts. Voprosy Urologii i Andrologii. 2017;5(2):45-50. (In Russ). doi: 10.20953/2307-6631-2017-2-45-50
  4. Lyu X, Liu L, Yang L, et al. Surgical management of adrenal cysts: a single-institution experience. International Braz J Urol: official journal of the Brazilian Society of Urology. 2014;40(5):656-65. doi: 10.1590/S1677-5538.IBJU.2014.05.11
  5. Adamyan RT, Bel’tsevich DG, Butrova SA, et al.; Dedov II, Kuznetsov NS, Mel’nichenko GL, editors. Endokrinnaya khirurgiya. Moscow: Litterra; 2011. (In Russ).
  6. Katorkin SE, Kolsanov AV, Bystrov SA, et al. Preoperative 3D Modeling Splenectomy in Patients with Primary Immune Thrombocytopenia. Novosti Khirurgii. 2017;25(2):177-82. doi: 10.18484/2305-0047.2017.2.177
  7. Katorkin SE, Kolsanov AV, Bystrov SA, et al. Virtual 3-D Modeling in Surgical Treatment of Chronic Pancreatitis. Novosti Khirurgii. 2017;25(5):503-9. (In Russ). doi: 10.18484/2305-0047.2017.5.503
  8. Kolsanov AV, Zel’ter PM, Chaplygin SS, et al. Trekhmernoye modelirovaniye i navigatsiya v klinicheskoy praktike (opyt ispol’zovaniya sistemy «Avtoplan»). Samara: LLC DSM Printing House; 2019.

Supplementary files

Supplementary Files Action
1.
Fig. 1. CT of organs of the abdominal cavity and retroperitoneal space of patient A., 26 years old. Sagittal and axial sections. Cyst formation (shown by arrows)

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2.
Fig. 2. 3D-model of the operation area. The arrow shows a cyst of the right adrenal. Besides, a tight contact of the cyst with the inferior vena cava is seen

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