Adrenalectomy is the removal of one or both adrenal glands. There is one gland on top of each kidney. The adrenal glands make several hormones, including cortisol, aldosterone, and sex steroids. The adrenal glands also make adrenaline and noradrenaline in small amounts.
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Your adrenal gland may be removed if you have any of the following:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor will likely do some or all of the following:
Let your doctor know which medications you are taking. You may be asked to stop taking or adjust the dose of certain medications, such as:
In the days leading up to your procedure:
Your doctors may need to admit you to the hospital before your planned procedure if your blood pressure has not been well controlled with medication. This will allow more aggressive treatment to stabilize your blood pressure. It will also ensure that you have enough fluid in your body to prevent blood pressure problems after the surgery is done.
General anesthesia will be used. You will be asleep during the procedure.
You will likely be given IV fluids, antibiotics, and medications that depend on the condition that is being treated.
With the laparoscopic approach, the doctor will make 3-4 small incisions in the abdomen. A tiny camera will be passed through one of these openings. To allow a better view, the abdomen will be filled with gas. Other tools will be used to separate the adrenal gland from the kidney. The gland will then be removed through an incision. Stitches or staples will be used to close the incisions. Small bandages will be placed.
A tiny, flexible tube may be placed where the gland was removed. This tube will drain fluids that may build up. It will be removed within one week.
The doctor may need to switch to an open surgery if there are any problems.
You will be monitored in the recovery room.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
There are also steps you can take to reduce your chance of infection, such as:
Recovery time may be 7-10 days. To help ensure a smooth recovery:
Call your doctor if any of the following occur:
If you think you have an emergency, call for medical help right away.
Urology Care Foundation
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Urological Association
Kidney Foundation of Canada: British Columbia Branch
Agha A, von Breitenbuch P, et al. Retroperitonenscopic adrenalectomy: lateral versus dorsal approach. J Surg Oncol. 2008;97:90-93.
Gallagher SF, Wahi M, Haines KL, et al. Trends in adrenalectomy rates, indications, and physician volume: A statewide analysis of 1816 adreanlectomies. Surgery. 2007;142:1011-1021.
Hanssen WE, Kuhry E, et al. Safety and efficacy of endoscopic retroperitoneal adrenalectomy. Br J Surg. 2006;93:715-719.
Jossart GH, Burpee SE, et al. Surgery of the adrenal glands. Endocrinol Metab Clin North Am. 2000;29:57-68.
Munver R, Del Pizzo JJ, et al. Adrenal-preserving minimally invasive surgery: the role of laparoscopic partial adrenalectomy, cryosurgery, and radiofrequency ablation of the adrenal gland. Curr Urol Rep. 2003;4:87-92.
Pamaby CN. The role of laparoscopic adrenalectomy for adrenal tumours of 6 cm or greater. Surg Endosc. 2008;22:617-621.
Thompson SK, Hayman AV, et al. Improved quality of life after bilateral laparoscopic adrenalectomy for Cushing’s disease: a 10-year experience. Ann Surg. 2007;245:790-794.
Last reviewed Februrary 2014 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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