Laparoscopic adrenalectomy: technical aspects

Chowbey, P.K.; Vashishtha, A.; Khullar, R.; Sharma, R.; Soni, V.; Baijal, M.; Dhir, A. and Dewan, A. (2002) Laparoscopic adrenalectomy: technical aspects. In: 5th Annual Conference of Indian Association of Gastrointestinal Endo-surgeons (IAGES), 31st Jan - 3rd Feb 2002, Kolkatta, India.

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Abstract

Laparoscopic adrenalectomy is indicated for patients with adrenal masses, pheochromocytoma and cushings syndrome. It can be performed either by a retroperitoneal approach or a transperitoneal approach. Retroperitoneal approach is the procedure of choice as in open surgery but a transperitoneal approach may be required for large adrenal masses. Majority of these patients undergoing adrenalectomy are severely moribund and immunocompromised. Large open incisions thus add on to their morbidity and suffering. The majority of adrenal gland tumors are amenable to laparoscopic excision because most adrenal neoplasms are small and pathologically benign. We review the basic principles and technical aspects of a transperitoneal laparoscopic approach to adrenelectomy i.e. right and left adrenal gland. Laparoscopic adrenalectomy has now because the procedure of choice for adrenal masses in all the advanced laparoscopic centres having all the advantages of minimal access surgery including decreased pain, a shorter duration of postoperative ileus, earlier hospital discharge, and a more rapid recovery.

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