TY - JOUR
T1 - Laparoscopic adrenalectomy for patients who have Cushing's syndrome
AU - Young, William F.
AU - Thompson, Geoffrey B.
PY - 2005/6
Y1 - 2005/6
N2 - Laparoscopic adrenalectomy is safe, effective, and curative, and it shortens hospitalization and convalescence. Laparoscopic adrenalectomy is the procedure of choice for the surgical management of Cushing's syndrome patients who have cortisol-producing adenomas (unilateral or bilateral), ACTH-dependent Cushing's syndrome and failed surgery for the removal of the source of ACTH, bilateral primary pigmented nodular adrenal disease, and ACTH-independent bilateral adrenal macronodular hyperplasia. Contraindications for laparoscopic adrenalectomy include adrenocortical carcinomas, very large tumors (eg, greater than 10 cm in diameter), and patients who have malignant ACTH-secreting pheochromocytomas. The keys to successful laparoscopic adrenalectomy are appropriate patient selection, knowledge of anatomy, delicate tissue handling, meticulous hemostasis, and experience with advanced laparoscopic surgery.
AB - Laparoscopic adrenalectomy is safe, effective, and curative, and it shortens hospitalization and convalescence. Laparoscopic adrenalectomy is the procedure of choice for the surgical management of Cushing's syndrome patients who have cortisol-producing adenomas (unilateral or bilateral), ACTH-dependent Cushing's syndrome and failed surgery for the removal of the source of ACTH, bilateral primary pigmented nodular adrenal disease, and ACTH-independent bilateral adrenal macronodular hyperplasia. Contraindications for laparoscopic adrenalectomy include adrenocortical carcinomas, very large tumors (eg, greater than 10 cm in diameter), and patients who have malignant ACTH-secreting pheochromocytomas. The keys to successful laparoscopic adrenalectomy are appropriate patient selection, knowledge of anatomy, delicate tissue handling, meticulous hemostasis, and experience with advanced laparoscopic surgery.
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U2 - 10.1016/j.ecl.2005.01.006
DO - 10.1016/j.ecl.2005.01.006
M3 - Review article
C2 - 15850855
AN - SCOPUS:18044367915
SN - 0889-8529
VL - 34
SP - 489
EP - 499
JO - Endocrinology and Metabolism Clinics of North America
JF - Endocrinology and Metabolism Clinics of North America
IS - 2
ER -