Laparoscopic adrenalectomy: lessons learned from an initial series of 100 patients.

Background: Laparoscopic adrenalectomy is considered the gold standard for the surgical treatment of adrenal disorders in most centers. This study analyzes the authors' experience using the lateral intraperitoneal approach with the first 100 patients. In addition to analyzing the authors' experience, this article aims to contrast it with some published series as an internal quality control.

Nelson's syndrome after bilateral adrenalectomy for Cushing's disease.

Background: Presentation and outcome of Nelson's syndrome after bilateral adrenalectomy is variable.

Methods: Clinical records of 39 patients who underwent bilateral adrenalectomy for primary or recurrent Cushing's disease during a 15-year period were analyzed for frequency and evolution of Nelson's syndrome.

Results: The study included 32 females and 7 males with a mean age of 31 years; 20 patients had a hypophysectomy as the initial procedure, and 19 had an adrenalectomy.

Is intraoperative parathyroid hormone assay mandatory for the success of targeted parathyroidectomy?

Background: Minimally invasive parathyroidectomy has become the first surgical option for patients with primary hyperparathyroidism (HPT) in many places. Preoperative localization studies are mandatory, and the use of a quick parathyroid hormone (PTH) assay is highly recommended. The aim of this study was to analyze our initial series of targeted parathyroidectomies.