2007
DOI: 10.1590/s0004-27302007000800021
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Role for laparoscopic adrenalectomy in patients with Cushing's syndrome

Abstract: Laparoscopic adrenalectomy is one of the most clinically important advances in the past 2 decades for the treatment of adrenal disorders. When compared to open adrenalectomy, laparoscopic adrenalectomy is equally safe, effective, and curative; it is more successful in shortening hospitalization and convalescence and has less long-term morbidity. The laparoscopic approach to the adrenal is the procedure of choice for the surgical management of cortisol-producing adenomas and for patients with corticotropin (ACT… Show more

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Cited by 10 publications
(3 citation statements)
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“…It also enables better visibility of the surgical field because of an additional advantage of magnification, thus decreasing the risk for retained remnants and adrenal rest tissue. 10 Right adrenal gland-more retrocaval and a shorter adrenal vein than left adrenal gland, so right side is a more challenging and time-consuming procedure than left-sided adrenalectomy. 11 However, Po-Hui Chiang et al did not find any difference in conversion rates based on the laterality of tumors.…”
Section: Discussionmentioning
confidence: 99%
“…It also enables better visibility of the surgical field because of an additional advantage of magnification, thus decreasing the risk for retained remnants and adrenal rest tissue. 10 Right adrenal gland-more retrocaval and a shorter adrenal vein than left adrenal gland, so right side is a more challenging and time-consuming procedure than left-sided adrenalectomy. 11 However, Po-Hui Chiang et al did not find any difference in conversion rates based on the laterality of tumors.…”
Section: Discussionmentioning
confidence: 99%
“…The treatment of choice for PPNAD is bilateral adrenalectomy, especially in overt PPNAD as in our sibling pair. Laparoscopic adrenalectomy is favored over an open surgical method in this era, as it is associated with shorter hospital stay, fewer perioperative complications, and earlier return to normal activity [ 19 ]. In Carney and Young’s series of 88 patients, 65 % were cured after bilateral adrenalectomy [ 7 ].…”
Section: Discussionmentioning
confidence: 99%
“…It is also indicated in adrenocorticotrophin hormone (ACTH)–independent macronodular hyperplasia (AIMAH) and primary pigmented nodular adrenocortical disease (PPNAD). [4]…”
Section: Introductionmentioning
confidence: 99%