Abstract | INTRODUCTION: MATERIALS AND METHODS: RESULTS: From 2001 to 2006, the authors performed 16 adrenalectomies in 14 patients, with 11 performed laparoscopically. Two women with occult ectopic ACTH syndrome, refractory to medical management, underwent laparoscopic bilateral adrenalectomies. Operative times were 240 and 245 minutes, including repositioning. One patient underwent a simultaneous wedge liver biopsy for a right lobar lesion. There were no complications. Each patient resumed a regular diet on the first postoperative day. Inpatient hospital stays were 3 days each, mainly for steroid-replacement management. Final pathologic diagnoses were diffuse adrenocortical hyperplasia. Both patients noted a quick improvement in Cushing's syndrome symptoms and signs and were maintained on hydrocortisone and fludrocortisone replacement without incident for over 2 years. CONCLUSIONS:
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Authors | Jihad R Salameh, Karen R Borman, George M Varkarakis |
Journal | Journal of laparoendoscopic & advanced surgical techniques. Part A
(J Laparoendosc Adv Surg Tech A)
Vol. 18
Issue 1
Pg. 52-5
(Feb 2008)
ISSN: 1092-6429 [Print] United States |
PMID | 18266575
(Publication Type: Journal Article)
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Topics |
- ACTH Syndrome, Ectopic
(surgery)
- Adrenal Gland Neoplasms
(surgery)
- Adrenal Glands
(pathology)
- Adrenalectomy
(methods)
- Cushing Syndrome
(surgery)
- Female
- Humans
- Hyperaldosteronism
(surgery)
- Hyperplasia
- Laparoscopy
- Length of Stay
- Pheochromocytoma
(surgery)
- Treatment Outcome
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