Laparoscopic Adrenalectomy: A Surgical Option for the Management of Cushing’s Syndrome in Adrenal Adenoma

Laparoscopic Adrenalectomy: A Surgical Option for the Management of Cushing’s Syndrome in Adrenal Adenoma
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Title:Laparoscopic Adrenalectomy: A Surgical Option for the Management of Cushing’s Syndrome in Adrenal Adenoma
Author/Abstract:Wilfredo T. Polido Jr, MD; Kim Shi C. Tan, MD; Roman P. Oblena Jr, MD and Alvin G. Cabreira, MD

Department of Surgery, Far Eastern University-Nicanor Reyes Medical Foundation Medical Center


Cushing’s syndrome from primary adrenal gland malfunction is most commonly caused by a solitary adrenal adenoma. Complete surgical excision as the standard treatment has evolved from the conventional anterior abdominal laparotomy or a flank approach to the laparoscopic, minimally invasive resection. Laparoscopic surgery offers lower intra-operative blood loss, minimal postoperative pain and shorter hospitalization. We report a 21-year old female with Cushing’s syndrome who underwent laparoscopic resection of a right adrenal adenoma. Our limited experience has taught us that with proper patient selection, laparoscopic adrenalectomy is a safe and very promising management option.

Key words: laparoscopic adrenalectomy, Cushing's syndrome, adrenal adenoma
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