Introduction
Adrenalectomy (suprarenalectomy) is a surgical procedure to remove one or both adrenal glands located above the kidneys. This surgery is performed to treat adrenal tumors, excessive hormone production, or conditions that do not improve with medication. Adrenalectomy can be done through open surgery or laparoscopy, the latter being preferred due to faster recovery and less postoperative discomfort.
What Is Laparoscopic Adrenalectomy?
Laparoscopic adrenalectomy is the preferred modern technique for removing benign adrenal lesions or adrenal gland tumors. Various laparoscopic approaches can be used, including the transperitoneal or retroperitoneal route. Our team shares over 12 years of experience and long-term outcomes with laparoscopic adrenalectomy.
Preparing for Laparoscopic Adrenalectomy
Preoperative Consultation
Before surgery, the patient meets with the surgeon to discuss procedure details, associated risks, and recovery expectations. This consultation is the perfect opportunity for the patient to ask questions or share any concerns.
Medical Evaluations
The patient will undergo several preoperative tests, including blood work, chest X-rays, and an electrocardiogram to assess general health. If the adrenal tumor produces hormones, additional tests will help evaluate hormone levels.
Medication
It is essential to inform the medical team about all current medications, including supplements or herbal products, as some may need to be adjusted or stopped temporarily. Medications that affect blood clotting, such as aspirin or anticoagulants, require special management.
Physical Preparation
Patients are encouraged to maintain a balanced diet and avoid alcohol and tobacco in the weeks before surgery. Staying physically active at a level appropriate for each patient’s health is also recommended.
Specific Instructions
The day before surgery, patients are usually advised not to eat or drink anything after midnight. A laxative or enema may also be needed to empty the bowels before the procedure.
Day of the Procedure
On the day of surgery, the patient should arrive at the hospital with all necessary medical documents. After admission, preparation includes changing into surgical clothing and inserting an intravenous line for fluids and medications.
Recovery and Postoperative Care
After surgery, the patient will receive clear instructions for recovery, which include pain management, temporary dietary adjustments, and advice for gradually resuming physical activities. Follow-up visits will monitor healing and adjust any hormone therapy if needed. Careful preparation and following all medical advice are key to a smooth recovery and optimal surgical outcome.
Conclusion
Transperitoneal laparoscopic adrenalectomy is a safe, effective, and minimally invasive procedure for patients with benign adrenal tumors. This technique offers low risk, minimal need for pain medication, and a short hospital stay.
At VenArt Clinic, we are committed to providing advanced care to help you live a healthy life. Schedule a consultation and see how we can help.
Consulting Physician: Prof. Dr. Jérôme Cau
References:
Laparoscopic Adrenalectomy for Adrenal Tumor
Frequently asked questions
Can you live without your adrenal glands?
Yes, it is possible to live without your adrenal glands, but lifelong medical treatment and careful monitoring are necessary.
What are the symptoms of an adrenal tumor?
General symptoms may include:
- Fatigue
- Muscle weakness
- Unintentional weight loss or weight gain
- High blood pressure
- Abdominal pain or a feeling of fullness
What is an adrenal tumor?
An adrenal tumor is an abnormal growth in the adrenal glands above the kidneys. These tumors can be benign or malignant (cancerous).
What are the adrenal glands?
The adrenal glands are small organs above each kidney that help regulate the body’s stress response and maintain hormonal balance. They have two parts: the cortex, which produces corticosteroids (cortisol for stress and metabolism, aldosterone for blood pressure, weak androgens for sexual function) and the medulla, which releases catecholamines (adrenaline and norepinephrine for energy). Proper adrenal function is vital for stress adaptation, metabolic balance, immune health, and other key processes.
What is the procedure for removing the adrenal glands?
Adrenalectomy can be performed through open surgery or laparoscopy. The laparoscopic approach is preferred due to faster recovery and less postoperative pain.
