What are the principles of adrenal surgery for cortisolism?

(1) Adrenal adenoma: adenomectomy is performed, preserving the atrophied adrenal gland.

(2) Adrenal adenocarcinoma: radical resection.

(3) Bilateral adrenal hyperplasia: in mild cases or in minors, one adrenal gland is removed. And for pituitary radiation therapy; other cases of adrenalectomy, that is, one side of the total cut, the opposite side of the adrenal gland 80%. Generally, the right adrenal gland is completely removed, and the left adrenal gland is largely removed. As the recurrence rate of adrenalectomy reaches 30%～40%, it is advocated that both adrenal glands should be removed in severe cases. Therefore, some people advocate the total removal of both adrenal glands for those with serious conditions, and some people advocate autologous adrenal transplantation at the same time. The disadvantages of adrenalectomy are: high recurrence rate of major resection, and the need for lifelong hormone supplementation after total resection.