Adrenalectomy
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Adrenalectomy is the surgical removal of one or both (bilateral adrenalectomy) adrenal glands. It is usually advised for patients with tumors of the adrenal glands. The procedure can be performed using an open incision or laparoscopic technique.
Choice of procedure
Adrenalectomy may be preformed via open or laparoscopic technique. In either approach, the gland may be approached anteriorly, laterally or posteriorly via retroperitoneum. Laparoscopic adrenalectomy has rapidly become the standard procedure of choice for excision of most benign-appearing adrenal lesions less than 6 cm in diameter, but its role in management of adrenocortical cancers is controversial. Open technique is the safest option when dealing with suspected or known adrenocortical cancer and malignant pheochromocytoma.