title: Synchronous bilateral adrenalectomy for adrenocorticotropic-dependent Cushing's syndrome.
abstract: Select patients with ACTH-dependent Cushing's syndrome, such as patients with persistent Cushing's disease after failed hypophysectomy or patients with ectopic ACTH production, may require bilateral adrenalectomy. Laparoscopic bilateral adrenalectomy has been described, offering definitive treatment with reduced morbidity compared with open techniques. We report on the performance of synchronous bilateral adrenalectomy treated using the da Vinci robot (Intuitive Surgical, Sunnyvale, CA). To our knowledge, the usage of this minimally invasive approach for this operation has yet to be reported in literature. The details of the case and a brief review of the literature are described herein.
authors.affiliation: Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan, USA.
authors.forename: Dev
authors.initials: D
authors.lastname: Malley
authors.forename: Ronald
authors.initials: R
authors.lastname: Boris
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Kaul
authors.forename: Daniel
authors.initials: D
authors.lastname: Eun
authors.forename: Fred
authors.initials: F
authors.lastname: Muhletaler
authors.forename: Craig
authors.initials: C
authors.lastname: Rogers
authors.forename: Vinod
authors.initials: V
authors.lastname: Narra
authors.forename: Mani
authors.initials: M
authors.lastname: Menon
mesh_terms: D000315:Adrenalectomy / Q000379:methods*; D000324:Adrenocorticotropic Hormone / Q000032:analysis; D003480:Cushing Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D007016:Hypophysectomy; D010535:Laparoscopy; D008875:Middle Aged; D012371:Robotics
chemical_list: D000324:Adrenocorticotropic Hormone