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Bilateral adrenalectomy – in patients with Cushing’s syndrome due to ectopic secretion of ACTH


Authors: Petr Hušek 1;  Jaroslav Pacovský 1;  Filip Gabalec 2;  Josef Košina 1;  Jan Čáp 2;  Miloš Broďák 1
Authors place of work: Urologická klinika FN a LF UK Hradec Králové 1;  Interní klinika FN– oddělení klinické hematologie a endokrinologie Hradec Králové 2
Published in the journal: Ces Urol 2012; 16(1): 67-72
Category: Case report

Summary

We present three patients, who underwent bilateral adrenalectomy for ACTH dependent Cushing’s syndrome. Despite using all available examination methods, we failed to identify the source of ACTH overproduction prior to the time of intervention. Surgery was performed in our department of urology from 2009–2011 based on the indication of the endocrinologist. For patients undergoing bilateral adrenalectomies laparoscopic or robotic approaches have a clear benefit.

Key words:
bilateral adrenalectomy, Cushing’s syndrom.


Zdroje

1. Gabalec F, Zavřelová A, Havel E, Cerman J, Radocha J, Svilias I, Čáp J. Pneumocystis pneumonia during medicamentous treatment of Cushing’s syndom – a description of two cases. ACTA MEDICA (Hradec Králové) 2011; 54(3): 127–130.

2. Castillo O, Vitagliano G, Cortes O, Kerkebe M, Pinto I, Arellano L. Bilateral Laparoskopic Adrenalectomy. J Endourol 2007; 21(9): 1053–1058.

3. Th omson K, Haymen A, Ludlam W, Deveney C, Loriaux L, Sheppard C. Improved quality of life aft er bilateral laparoscopic adrenalectomy for Cushing’s disease: A 10-years experience. Annals of Surgery 2007; 245(5): 790–794.

4. Takata MC, Kebebew E, Clark OH, Duh QY. Laparoskopic bilateral adrenalectomy: results for 30 consecutive cases. Surg Endosc 2008; 22(1): 202–207.

5. Hawn M, Cook D, Deveney C, Sheppard B. Quality of life aft er laparoscopic bilateral adrenelectomy fo Cushing’s disease. Surgery 2002; 132(6): 1064–1069.

6. Kiriakopoulos A, Tsakaynis D, Linos D. Bilateral transeritoneal adrenalectomy in three children. J Laparoendosc Adv Surg Tech A 2006; 16(5): 534–539.

7. Castillo O, Foneron A, Vidal-More I, Sanchez-Salas R, Vitagliano G, Diaz M. Bilateral simultaneous laparoscopic adrenalectomy for congenital adrenal hyperlasia: Initial experience. Journal of Pediatric Urology 2011; 7(2): 174–177.

8. Mallex D, Boris R, Kaul s, Eun D, Muhletaler F, Rorges C, Narra V, Menon M. Synchronous Bilateral Adrenalectomy for Adrenoroticotropic-dependen Cushing’s Syndrome. JSLS 2008; 198–201.

9. Yuang Q, Li F. Laparoscopic Adrenalectomy in Pheochomocytoma: Retroperitoneal Approach Versus Transperitoneal Approach. Journal of endourology 2010; 24(9): 1441–1445.

10. Hasan, R, Herold K, Matthews B, Kercher K, Sing R, Heniford B. Outcomes for Laparoskopic Bilateral Adrenalectomy. J Laparoendoscopic Adv Surg Tech 2002; 12(4): 233.

11. Pugliese R, Boniardi M, de Carli S, Samsona F, Contanzi D, Ferrari GS, Di Lormia S, Loli P, Grossrubatscher E. Laparoscopic bilateral simultaneous adrenalectomy: results of 11operations. J Laparoendosc Adv Surg Tech A 2008; 18(4): 588–592.

12. Kawasaki Y, Ishidoya S, Kaiho Y, Ito A, Satoh F, Morimoto R, Nakagawa H, Arai Y. Laparoscopic simultaneous bilateral adrenalectomy: Assessement of feasibility and potential indications. Int J Urolog 2011.

13. Wein A, Kavoussi L, Novick A, Partin A, Peters C. Campbell-Walsh Urology, 9th ed. Saunders 2007: 1830–1837.

14. Bureš J, Horáček J, et al. Základy vnitřního lékařství. Praha: Galén 2003; 534–536.

15. Cardenas A, Herrera M, Diaz-Polanco A, Rios J, Pantoja J. Nelson’s syndome aft erbilateraladrenalectomy for Cushing’s disease. Surgery 2007; 141(2): 147–152.

16. Ďurovcová V, Kršek M. Cushingův syndrom – charakteristika, diagnostika a léčba. Medicína pro praxi 2009; 6(6): 295–298.

Štítky
Paediatric urologist Nephrology Urology
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