|Laparoscopic adrenalectomy||Laparoscopic adrenalectomy is the procedure of choice for benign (non-cancerous) adrenal tumors. Laparoscopic surgery has proved to be a major advancement for the management of adrenal tumors.
In this procedure three to five small incisions are made to insert a video chip camera and long tubes called ports through which long instruments are introduced for the surgery into the abdomen. The video chip camera projects an image of the inside of the abdomen on a television monitor and the surgeon then performs the surgery while visualizing the procedure on the TV monitor.
Patients that have undergone laparoscopic surgery have much shorter hospitalization (the average hospitalization after a laparoscopic procedure is one to two days compared to five to seven days after an open procedure), more rapid recovery (approximately 2 weeks compared to 4 to 8 weeks after open surgery) and earlier return to work. The postoperative pain is markedly reduced after laparoscopic surgery and the general feeling of physical well being returns at a much faster rate
|Open Transperitoneal Adrenalectomy||Open Adrenalectomy is indicated for large adrenal tumors or when there are contraindications for laparoscopic adrenalectomy. Open adrenalectomy is pthe preferred mode in carcinomas or adrenal masses with suspicious of malignancy.|
|Retroperitoneal Adrenalectomy||In the laparoscopic retroperitoneal technique, the patient is positioned prone (i.e. lying face down) and the adrenal gland is approach through the back. The major benefit of the retroperitoneal approach is that the surgeon does not need to move any other organs out of the way (i.e. spleen, liver, pancreas, colon, etc.) because the adrenal gland lies right against the ribcage in the back. This technique means that it may be performed faster than the traditional transabdominal approach. In addition, this may be a better technique for patients having both adrenal glands removed.|
|Bilateral Adrenalectomy||Bilateral adrenalectomy is a safe, effective, and definitive treatment for patients with refractory Cushing disease, bilateral pheochromocytoma or other bilateral adrenal masses.This operation has been performed via a minimally invasive laparoscopic approach rather than by a traditional open approach|
|Thoracoabdominal adrenalectomy||The thoracoabdominal approach is indicated in very large adrenal masses. Its main advantages include a wide and shallow operative field, early ligation and severance of the adrenal vein mobilization of the tumor, easy operative procedure and short operation time, etc|