25 years experience of the surgical treatment of phaeochromocytoma.

Objective: To assess the outcome of the surgical treatment of patients who had adrenalectomy for phaeochromocytoma.

Design: Retrospective clinical study.

Settings: University hospital, Germany.

Bilateral endoscopic adrenalectomy for Cushing's syndrome in a patient with polycystic liver and kidney disease.

Microadenomectomy via a transsphenoidal approach is today's treatment of choice to achieve normal cortisol blood levels in patients with ACTH-secreting pituitary tumors. Should neurosurgery fail, bilateral adrenalectomy is recommended. Today the endoscopic, transabdominal or retroperitoneal adrenalectomy is regarded as the gold standard for the operation of endocrine-active adrenal tumors.