Laparoscopic adrenalectomy versus open adrenalectomy: results from a retrospective comparative study.

The relatively new operation of laparoscopic adrenalectomy has now become the procedure of choice for the management of most benign adrenal tumours. We have reviewed the data relating to the first 25 patients on whom we performed laparoscopic adrenalectomy and have made comparison with a group of 25 diagnosis-matched individuals on whom we had previously carried out open adrenalectomy. The patients who underwent laparoscopic adrenalectomy had a significantly shorter hospital stay and experienced significantly less postoperative morbidity than those who had an open operation, but the operation time was significantly longer for the laparoscopic group of patients. There is now good potential and sound evidence base for extending the indications for laparoscopic adrenalectomy.

E(2)-Elimination in the Decomposition of N-Bromoamino Acid Anions.

The kinetics of oxidation of eight structurally different amino acids by hypobromite ion (BrO(-)) in the presence of hydroxide ion has been studied. The reactions proceed through the rapid formation of N-bromoamino acid anion which then decomposes in the rate-limiting step. The decomposition of N-bromoamino acid anions is found to proceed through an unimolecular and a base-catalyzed reaction. The large negative values of DeltaS() and the products formed suggest that the hydroxide ion-catalyzed reactions proceed through an E(2) mechanism. N-Bromoamino acid anion gives an absorption spectrum with lambda(max) at approximately 290 nm.