Quality of life after laparoscopic bilateral adrenalectomy for XXXX .

@entity1 @entity699 @entity548
BACKGROUND: Bilateral adrenalectomy to control symptoms of @entity699 after failed transsphenoidal operation is effective. We examined surgical outcomes and quality of life after laparoscopic bilateral adrenalectomy for the treatment of @entity699 . METHODS: Eighteen @entity1 underwent laparoscopic bilateral adrenalectomy from November 1994 through December 2000. @entity1 data were obtained from chart reviews. @entity1 completed a follow-up survey including the SF-36 health survey (QualityMetric Inc, Lincoln, Neb). RESULTS: Laparoscopic bilateral adrenalectomy was accomplished in all 18 @entity1 . There was 1 intraoperative complication of a colotomy, and 2 postoperative complications including 1 @entity548 . Three @entity1 died at 12, 19, and 50 months after operation. At a median follow-up of 29 months, @entity1 reported improvement in all Cushing's-related symptoms. Nine of 11 @entity1 who responded to the survey stated their heath was improved after adrenalectomy. Results of the SF-36 health survey showed significantly lower scores in all 8 measured parameters when compared with the general population. CONCLUSIONS: Results of laparoscopic bilateral adrenalectomy show this procedure is comparable with open adrenalectomy in controlling symptoms of @entity699 . Despite @entity1 reported improvement in health after adrenalectomy, this @entity1 population continues to experience poor health as measured by the SF-36 when compared with the general population.
