[The vascular basis of pedicled adrenal transposition and its usage in the treatment of Cushing's disease].
To treat Cushing's disease, we studied the length and exterior diameter of the inferior phrenic and superior adrenal artery and vein, and the reflow of the adrenal vein. The length and exterior diameter of those blood vessels were divided and measured by veiner calipor. Six patients with Cushing's disease were treated by pedicled adrenal transposition to the musculus of the back. The right inferior phrenic artery was 75-110 mm from the exterior edge of the vena cava to the distant branch of the superior adrenal artery, while the left inferior phrenic artery was 70-90 mm from the left edge of the aorta to the distant branch of the superior adrenal artery, both of which have veins to accompany them. The superior adrenal artery came from the inferior phrenic artery relatively common and was divided into six branches. The exterior diameter of the distal superior adrenal artery was 1.5-2.5 mm and could be freed for 40-80 mm. Lateral veins could complete the adrenal blood drainage after the left central adrenal vein was ligated. The transpositioned blood vessel pedicle consisted of the distant inferior phrenic artery and vein, the distant branches of the superior adrenal artery and vein. The patient who had received the transposition treatment had neither hypocortisolism nor recurrence after 4 to 35 months. The length of the inferior phrenic, superior adrenal gland vessels could content the remained adrenal gland to reach their transposition bed when freed. The pedicled adrenal transposition to the musculi is an ideal method in the treatment of Cushing's disease.
Zhao
S
S
Department of Urologe, 153 Centre Hospital of People's Liberation Atmy, Zhengzhou.
Liu
D
D
Yan
L
L
D000311:Adrenal Glands / Q000098:blood supply* / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D003480:Cushing Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged