Related Experiment Video
Updated: Dec 25, 2025
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
19.4K
Surgical approach to patients with hypercortisolism.
Colleen M Kiernan1, Carmen C Solórzano1
1Vanderbilt University Medical Center, Nashville, TN, USA.
Gland Surgery
|March 25, 2020
Summary
This chapter reviews surgical management for Cushing's syndrome, focusing on controlling cortisol and its effects. It covers ACTH-dependent and independent hypercortisolism, including perioperative factors and robotic adrenalectomy.
Area of Science:
- Endocrinology
- Surgical Management
- Clinical Practice Guidelines
Background:
- Cushing's syndrome is characterized by hypercortisolism, leading to end-organ effects and comorbidities.
- Effective management aims to control cortisol levels or receptor activity.
Purpose of the Study:
- To review the surgical management of hypercortisolism.
- To discuss perioperative factors in surgical treatment.
- To evaluate robotic adrenalectomy for Cushing's syndrome.
Main Methods:
- Review of surgical strategies for ACTH-dependent hypercortisolism.
- Review of surgical strategies for ACTH-independent (adrenal) hypercortisolism.
- Discussion of perioperative considerations.
- Analysis of robotic adrenalectomy outcomes.
Main Results:
- Surgical management is a key treatment modality for Cushing's syndrome.
- Perioperative factors significantly influence surgical outcomes.
- Robotic adrenalectomy offers potential benefits and risks.
Conclusions:
- Surgical intervention is crucial for managing Cushing's syndrome.
- Careful consideration of perioperative factors is essential for successful surgical outcomes.
- Robotic adrenalectomy presents a viable, though complex, surgical option.
Related Concept Videos
01:27Adrenal Gland Disorders
2.7K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
2.7K
01:30Psychosurgery
866
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
866
01:21Inflammatory Bowel Disease V: Surgical Management
365
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
365
01:26COPD: Management Using Bronchodilators and Corticosteroids
654
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
654
01:26Kidney Transplant II: Surgical Procedure
233
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
233
01:29Chronic Pancreatitis II: Collaborative Care
232
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
232