Synchronous bilateral adrenalectomy for adrenocorticotropic-dependent Cushing's syndrome.
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.
Malley
Dev
D
Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan, USA.
Boris
Ronald
R
Kaul
Sanjeev
S
Eun
Daniel
D
Muhletaler
Fred
F
Rogers
Craig
C
Narra
Vinod
V
Menon
Mani
M
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
D000324:Adrenocorticotropic Hormone