Behind the Knife: A Review of the Adrenal Glands

The most common cause of hypercordisol is steroid use, exogenous administration of steroids. So you want to start with the abdominal CT or MRI. If you can't see it on that, then you want to do your iodine labeled MIBG. Okay. Will, you have a patient undergoing laparoscopic adrenalectomy for a seven centimeter into dentoloma. Interoperative, you found to have adjacent lymphatic not the Tumor invasion into adjacent abdominal wall. What's your next step? So you convert to an open procedure. Where your suspicion for ACC is heightened and so you want to avoid any risk of violation of that tumor capsule through that laparoscopic approach