- bilateral adrenalectomy
- Unilateral adrenalectomy was performed in all but 1 patient who underwent bilateral adrenalectomy for pheochromocytoma. (sages.org)
- Adrenalectomy (sometimes written as ADX for the procedure or resulting state) is the surgical removal of one or both (bilateral adrenalectomy) adrenal glands. (wikipedia.org)
- Background: The optimal management of patients requiring bilateral adrenalectomy in regards to the surgical technique and timing of surgery has not been clearly defined. (sages.org)
- The aim of this study is to analyze the patient factors affecting the feasibility and outcomes of different surgical approaches to determine an algorithm for bilateral adrenalectomy. (sages.org)
- Of these patients, 26 (9%) underwent planned bilateral adrenalectomy. (sages.org)
- Results: Of the 26 patients that underwent bilateral adrenalectomy, eleven were male and 15 were female with a mean age of 58, median ASA of 3 and mean BMI of 32. (sages.org)
- Of these 26 patients, successful laparoscopic bilateral adrenalectomy was performed in 18 patients, robotic in 6 patients, and open in 2 patients. (sages.org)
- Conclusion: A minimally invasive operation is feasible in 92% of patients undergoing bilateral adrenalectomy with 63% of adrenalectomies completed using the PR approach not requiring repositioning of the patient. (sages.org)
- The advancements mentioned prior are what have allowed physicians to pursue other routes for Cushing's disease therapy that don't involve bilateral adrenalectomy. (wikipedia.org)
- Earlier, Nelson's syndrome was observed in 20-40% of patients who had a bilateral adrenalectomy with a pituitary adenoma. (wikipedia.org)
- Nelson's syndrome is observed in 8-44% of the population who have undergone bilateral adrenalectomy treatment for Cushing's disease. (wikipedia.org)
- The common symptoms include: hyper-pigmentation of the skin visual disturbances headaches abnormal high levels of beta-MSH and ACTH abnormal enlargements of the pituitary gland, interruption of menstrual cycles in women Common causes include bilateral adrenalectomy for the treatment of Cushing's disease, and hypopituitarism. (wikipedia.org)
- The onset of the disease can occur up to 24 years after a bilateral adrenalectomy has been performed, with an average of up to 15 years after. (wikipedia.org)
- A preventative measure that can be utilized is prophylactic radiotherapy when a bilateral adrenalectomy is being performed in order to prevent Nelson's syndrome from manifesting. (wikipedia.org)
- After a bilateral adrenalectomy is performed cortisol levels are no longer normal. (wikipedia.org)
- Overall, not all patients that have had a total bilateral adrenalectomy develop Nelson's syndrome, which makes the mechanism harder to understand for such a rare disease. (wikipedia.org)
- underwent
- In the current study, Dr. Auchus' research group analyzed the records of 24 patients who underwent adrenalectomy at UT Southwestern between 2003 and 2006 because of abnormally high cortisol production. (medindia.net)
- Median survival was 16 months for patients who underwent adrenalectomy compared to 5 months for patients with documented adrenal metastases treated non surgically. (bioportfolio.com)
- Methods: Between 2000 and 2012, a total of 285 patients underwent adrenalectomies at a single academic institution. (sages.org)
- indications for adrenalectomy
- Although several studies have found an increased survival in patients who undergo resection of solitary adrenal metastases the indications for adrenalectomy in cases of metastatic adrenal tumor remain controversial. (bioportfolio.com)
- Size based indications for adrenalectomy have begun to change as outcomes improve with the advent of more refined laparoscopic techniques. (sages.org)
- laparoscopic adrenalectomies
- Methods: A retropspective review of all laparoscopic adrenalectomies for pheochromocytoma by a single surgeon from 1997 to 2007 was performed. (sages.org)
- Zeh HJ, Udelsman R. One hundred laparoscopic adrenalectomies: a single surgeon's experience. (springer.com)
- transabdominal
- Since 1992, transabdominal LA(laparoscopic adrenalectomy) has been a standard method of adrenalectomy. (clinicaltrials.gov)
- pheochromocytoma
- Laparoscopic adrenalectomy for pheochromocytoma……take the vein last? (sages.org)
- The purpose of this investigation is to challenge the "vein first" technique by demonstrating the safety and efficacy of delayed ligation of the adrenal vein during laparoscopic adrenalectomy for pheochromocytoma. (sages.org)
- Conclusions: Delayed adrenal vein ligation during laparoscopic adrenalectomy for pheochromocytoma is safe and effective. (sages.org)
- cortisol
- It is not clear whether the adrenalectomy or reduced cortisol secretion causes aggressive tumor growth. (wikipedia.org)
- retroperitoneal
- One is called PRA(posterior retroperitoneal adrenalectomy), which is performed through 3 or 4 holes at patient's back. (clinicaltrials.gov)
- Among those, PRA(posterior retroperitoneal adrenalectomy) has showed good outcomes in many institutes. (clinicaltrials.gov)
- minimally
- The average hospital stay was 3.6 days for all minimally invasive adrenalectomies compared to 5 and 12 days for the two open cases There were no 30-day hospital mortality and only 3 minor complications (11%) for the entire group. (sages.org)
- adrenal tumors
- Researchers at UT Southwestern Medical Center have found that patients with a mild form of Cushing syndrome, a metabolic disorder caused by adrenal tumors, demonstrate substantial clinical improvement after adrenalectomy. (medindia.net)
- tumors
- Adrenalectomy is usually advised for patients with tumors of the adrenal glands. (encyclopedia.com)
- Laparoscopic adrenalectomy has become the accepted standard for patients with functional tumors or when there is concern for cancer, either primary adrenal or in some instances metastatic lesions. (sages.org)
- metastatic
- We randomized 96 postmenopausal women with metastatic breast carcinoma to receive surgical adrenalectomy or medical therapy with an adrenal inhibitor, aminoglutethimide (AG), plus replacement hydrocortisone. (nih.gov)
- Cushing's
- Nelson's syndrome is also referred to as post adrenalectomy syndrome and is a result of an adrenalectomy performed for Cushing's disease. (wikipedia.org)
- epinephrine
- Following adrenalectomy, epinephrine disappears below the detection limit in the blood stream. (wikipedia.org)
- Unilateral
- Unilateral adrenalectomy is the treatment of choice for unilateral PHA. (wikipedia.org)
- hydrocortisone
- OBJECTIVES: I. Determine the Prostate-Specific Antigen (PSA) response proportion and duration of response of patients with localized stage IV (D0.5) adenocarcinoma of the prostate treated with early medical adrenalectomy using hydrocortisone combined with aminoglutethimide or ketoconazole after prior antiandrogen withdrawal. (clinicaltrials.gov)
- Patients undergo medical adrenalectomy using hydrocortisone combined with aminoglutethimide OR ketoconazole. (clinicaltrials.gov)
- A randomized trial comparing surgical adrenalectomy with aminoglutethimide plus hydrocortisone in women with advanced breast cancer. (nih.gov)
- Of 40 evaluable women treated with AG and hydrocortisone, 53 per cent had objective responses, as compared with 45 per cent of 29 women undergoing surgical adrenalectomy (P value not significant). (nih.gov)
- A null hypothesis tested the single question asked by this study: "Is surgical adrenalectomy superior to treatment with AG and hydrocortisone? (nih.gov)
- Rejection at significance levels of P = 0.01 and P = 0.07 for differences of 20 per cent and 10 per cent, respectively, suggested that medical therapy with AG and hydrocortisone may be logically chosen in place of surgical adrenalectomy. (nih.gov)
- Methods
- The purpose of this study is to compare two surgical methods of adrenalectomy. (clinicaltrials.gov)
- outcomes
- The purpose of this study was to evaluate indications and outcomes of laparoscopic adrenalectomy in a community hospital. (sages.org)
- Procedure
- Inclusion criteria included all adult patients undergoing adrenalectomy as their sole surgical procedure. (sages.org)
- metabolic
- The metabolic effect of adrenalectomy upon the urethanized cat. (wikipedia.org)
- surgery
- The surgery is called a laparoscopic adrenalectomy. (ucsd.edu)
- clinical
- Barczyński M, Konturek A, Nowak W. Randomized clinical trial of posterior retroperitoneoscopic adrenalectomy versus lateral transperitoneal laparoscopic adrenalectomy with a 5-year follow-up. (clinicaltrials.gov)
- treatment
- Studies have shown that corticosterone treatment and adrenalectomy reduces or upregulated hippocampal BDNF expression. (wikipedia.org)
- patients
- Diabetes and hypertension improved considerably in most affected patients after adrenalectomy. (medindia.net)
- We cannot promise everybody the same results," Dr. Auchus said, "but we found that adrenalectomy can dramatically help some patients. (medindia.net)
- A retrospective review of all patients undergoing laparoscopic adrenalectomy was performed following IRB approval from January 2002-August 2009. (sages.org)
- Twenty-three out of the 26 adrenalectomies were completed in a single stage, while 3 adrenalectomies were performed as a staged approach due to deterioration in intraoperative respiratory status in two patients and morbid obesity in 1 patient. (sages.org)
- Single stage adrenalectomies are feasible in most patients. (sages.org)
- total
- The effect of adrenalectomy upon the total metabolism of the cat. (wikipedia.org)
- removal
- Adrenalectomy is the surgical removal of one or both adrenal glands. (encyclopedia.com)
- Removal of the larger adrenal gland (an adrenalectomy) revealed the cause of its enlargement was not a tumour but hyperplasia. (wikipedia.org)
- Suspicious adrenal masses or those ≥4 cm are recommended for complete removal by adrenalectomy. (wikipedia.org)
- approach
- Early experience with laparoscopic approach for adrenalectomy. (springer.com)
- addition
- In addition, adrenalectomies are used to diagnose the lesion and sometimes relieve pain. (wikipedia.org)