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Updated: Sep 20, 2026

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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Adrenocorticotropin-independent macronodular adrenal hyperplasia treated by simultaneous bilateral laparoscopic
Mototsugu Muramaki1, Hiroshi Okada, Yutaka Sakai
1Division of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Abstract:
A 61-year-old woman was admitted to our hospital with hypertension and diabetes mellitus, and was found to have Cushing's syndrome. Radiological and endocrinological findings suggested adrenocorticotropic hormone-independent macronodular adrenal hyperplasia. Simultaneous bilateral laparoscopic adrenalectomy was performed, minimizing the number of trocar sites and operation time. Success was attributed to the careful selection of trocar sites to permit safe dissection.

