Ces Urol 2012, 16(1):67-72 | DOI: 10.48095/cccu2012010

Bilateral adrenalectomy - in patients with Cushing´s syndrome due to ectopic secretion of ACTH

Petr Hušek¹, Jaroslav Pacovský¹, Filip Gabalec², Josef Košina¹, Jan Čáp², Miloš Broďák¹

¹ Urologická klinika FN a LF UK, Hradec Králové

² Interní klinika FN - oddělení klinické hematologie a endokrinologie, Hradec Králové

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.

Keywords: bilateral adrenalectomy Cushings syndrom

Received: January 4, 2012; Accepted: February 20, 2012; Published: January 1, 2012