{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:20:57Z","timestamp":1760188857297},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[1984,12,1]],"date-time":"1984-12-01T00:00:00Z","timestamp":470707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1984,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Adrenal surgery is now done in almost ideal circumstances. Mortality and complications are rare except in Cushing's syndrome. All major adrenal hormones and their stimulators are measurable and discriminating tests abound. Imaging techniques detect small masses. Inhibitors of hormone synthesis and cell receptors allow amelioration of metabolic hazards pre-operatively. Primary aldosteronism is first medically controlled, and patients are selected for operation if difficult to control and if the type of disease is responsive to adrenalectomy. Cushing's disease usually requires pituitary adenomectomy, but some of the 15\u201330 per cent failures, those with ectopic adrenocorticotrophic hormone (ACTH) producing tumours, or adrenal adenomas warrant adrenalectomy. Metabolic hazards are controlled pre-operatively by aminoglutethimide. Benefits of adrenalectomy are uncertain and many challenges remain. Hazards of phaeochromocytomectomy are avoided by pre-operative adrenergic blockade. Myocardial disease warrants delay. Small unilateral lesions of all types are best removed through unilateral approaches. Small masses found on imaging and without apparent effect can be observed.<\/jats:p>","DOI":"10.1002\/bjs.1800711225","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T00:26:02Z","timestamp":1172881562000},"page":"983-985","source":"Crossref","is-referenced-by-count":5,"title":["Current achievements and challenges in adrenal surgery"],"prefix":"10.1093","volume":"71","author":[{"given":"T K","family":"Hunt","sequence":"first","affiliation":[{"name":"Departments of Surgery, Medicine and Pharmacology of the University of California"},{"name":"Departments of Surgery and Pathology, the University of Cambridge ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M F","family":"Roizen","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Medicine and Pharmacology of the University of California"},{"name":"Departments of Surgery and Pathology, the University of Cambridge ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J B","family":"Tyrrell","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Medicine and Pharmacology of the University of California"},{"name":"Departments of Surgery and Pathology, the University of Cambridge ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E G","family":"Biglieri","sequence":"additional","affiliation":[{"name":"Departments of Surgery, Medicine and Pharmacology of the University of California"},{"name":"Departments of Surgery and Pathology, the University of Cambridge ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1984,12,1]]},"reference":[{"key":"2024092716213574800_bib1","first-page":"551","volume-title":"Endocrinology and Metabolism","author":"Biglieri","year":"1981"},{"key":"2024092716213574800_bib2","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1148\/radiology.142.2.7054832","article-title":"Preoperative diagnosis and localization of aldosteronomas by computed tomography and venous sampling","volume":"142","author":"Dunnick","year":"1982","journal-title":"Radiology"},{"key":"2024092716213574800_bib3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00000658-198001000-00001","article-title":"Evolution of the surgical management of primary aldosteronism","volume":"191","author":"Auda","year":"1980","journal-title":"Ann Surg"},{"key":"2024092716213574800_bib4","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1097\/00000658-197510000-00001","article-title":"Selection of patients and operative approach in primary aldosteronism","volume":"182","author":"Hunt","year":"1975","journal-title":"Ann Surg"},{"key":"2024092716213574800_bib5","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/S0140-6736(82)92749-0","article-title":"Cushing's syndrome\u2014killing disease: discriminatory value of signs and symptoms aiding early diagnosis","volume":"ii","author":"Ross","year":"1982","journal-title":"Lancet"},{"key":"2024092716213574800_bib6","first-page":"330","volume-title":"Clinical Syndromes","author":"Hunt","year":"1978"},{"key":"2024092716213574800_bib7","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1097\/00000658-198209000-00003","article-title":"Surgical management of the ectopic ACTH syndrome","volume":"196","author":"Davies","year":"1982","journal-title":"Ann Surg"},{"key":"2024092716213574800_bib8","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1210\/edrv-3-3-229","article-title":"Cushing's syndrome: Problems in management","volume":"3","author":"Aron","year":"1982","journal-title":"Endocrinol Rev"},{"key":"2024092716213574800_bib9","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1097\/00005792-198101000-00002","article-title":"Cushing's disease: 18 years' experience","volume":"60","author":"Urbanic","year":"1981","journal-title":"Medicine"},{"key":"2024092716213574800_bib10","first-page":"367","article-title":"Pheochromocytoma: Current status and changing trends","volume":"91","author":"Van Heerden","year":"1982","journal-title":"Surgery"},{"key":"2024092716213574800_bib11","first-page":"941","article-title":"The effect of alpha adrenergic blockade on cardiac performance and tissue oxygen delivery during excision of pheochromocytoma","volume":"94","author":"Roizen","year":"1983","journal-title":"Surgery"},{"key":"2024092716213574800_bib12","first-page":"801","article-title":"Clinical experience with malignant pheochromocytomas","volume":"154","author":"Scott","year":"1982","journal-title":"Surg Gynaecol Obstet"},{"key":"2024092716213574800_bib13","doi-asserted-by":"crossref","first-page":"A43","DOI":"10.1097\/00000542-198209001-00043","article-title":"A prospective randomized trial of four anesthetic techniques for resection of pheochromocytoma","volume":"57","author":"Roizen","year":"1982","journal-title":"Anesthesiology"},{"key":"2024092716213574800_bib14","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00000658-198401000-00021","article-title":"The incidentally dicovered adrenal mass","volume":"199","author":"Coppeland","year":"1984","journal-title":"Ann Surg"},{"key":"2024092716213574800_bib15","first-page":"926","article-title":"Adrenal cortical carcinoma\u2014a continuing challenge","volume":"94","author":"Henley","year":"1983","journal-title":"Surgery"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800711225","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/71\/12\/983\/59377940\/bjs1800711225.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/71\/12\/983\/59377940\/bjs1800711225.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T16:22:38Z","timestamp":1727454158000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/71\/12\/983\/6186104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,12,1]]},"references-count":15,"journal-issue":{"issue":"12","published-online":{"date-parts":[[1984,12,1]]},"published-print":{"date-parts":[[1984,12,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800711225","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1984,12]]},"published":{"date-parts":[[1984,12,1]]}}}