Adrenalectomy

Adrenalectomy is a surgical procedure to remove one or both adrenal glands, typically performed to treat adrenal tumors and conditions causing hormonal imbalances. At American Endocrine, patients can choose between multi-port and single-incision robotic adrenalectomy techniques.

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Surgical Options

Multi-Port Robotic Adrenalectomy

• Minimally invasive technique
• Performed through 3-4 small incisions in the abdomen

Single-Incision Robotic Adrenalectomy

• Performed through a single small incision in the back
• Offers direct access to the adrenal glands

Open Adrenalectomy

• Traditional open surgery
• Used for larger tumors, cancer, or complex cases

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Benefits of Minimally Invasive Robotic Techniques

Robotic surgery offers several advantages due to its precision and enhanced visualization:

1. Less post-operative pain and scarring
2. Faster recovery and return to normal activities
3. Shorter hospital stay
4. Reduced blood loss during surgery

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Adrenal Tumors and Their Impact

Adrenal tumors can produce specific hormones, causing distinct diseases. Resecting the affected adrenal gland can cure these conditionsThese tumors may produce cortisol, aldosterone, or adrenaline, leading to various symptoms and changes that can be reversed with surgery and normalization of hormonal imbalance.

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Evaluation and Diagnosis

Adrenal tumors affect approximately 3-10% of the population, with most being benign and nonfunctional. All adrenal tumors should undergo careful evaluation for hormone production and cancer risk, although adrenal cancer is rare. Diagnosis typically involves:

1. Imaging evaluation (CT or MRI)
2. Hormonal evaluation

Surgical indications should be discussed carefully, and appropriate medical treatment should be initiated for optimal surgical outcomes.

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Postoperative Care and Factors Affecting Outcomes

Adrenal surgery is performed under general anesthesia and usually requires an overnight hospital stay for observation It is generally safe with a low complication rate. Factors influencing complications and hospital stay duration include:

1. Severity and duration of hormone-induced disease
2. Tumor size
3. Surgical approach

As hormonal imbalances normalize after surgery, careful monitoring and treatment may be necessary.