077IC - Evaluation and Management of Adrenal Masses: A Case-Based Approach

Monday, May 1, 2023

7:30 AM – 9:30 AM CST

Location: S105A

Instructional Course Director(s)

Neal Rowe, MD,FRCSC

University of Ottawa

Instructional Course Faculty(s)

Ravi Kumar, MD

University of Toronto
TM

Thomas McGregor, MD

Queen's University
Craig Rogers, MD, FACS

Vattikuti Urology Institute

Course Description: Modern abdominal imaging has led to increased detection of incidental adrenal masses. Urologists are challenged with distinguishing benign from malignant tumors, as well as characterizing functional and nonfunctional adrenal lesions. This interactive course will provide an in-depth summary of the diagnostic evaluation of adrenal lesions. We will examine specific cases of functional adrenal masses and outline the special considerations for each. A case-based discussion will highlight the surgical techniques used during adrenalectomy with an update on the role of partial adrenalectomy. The goal of this course is to familiarize the urologist with a practical approach to the evaluation of adrenal masses while providing a case-based discussion of laparoscopic and robotic surgical techniques.

Learning Objectives:

Recall the systematic evaluation of an incidentally detected adrenal mass.
Outline the management principles in the preoperative, intraoperative and postoperative care of patients with adrenal pheochromocytoma.
Identify patients who will benefit from adrenalectomy in the setting of primary aldosteronism and hypercortisolism.
Analyze potential controversies regarding surgical approaches in the management of adrenal tumors.
Describe optimal room setup, patient positioning and trocar placement for laparoscopic and robotic-assisted adrenal surgery.