Adrenalectomy
Alternative Names: Adrenal gland removal; Removal of adrenal glands
Adrenalectomy is an operation in which one or both adrenal glands are removed. The adrenal glands are part of the endocrine system and are located just above the kidneys.
Description of Procedure
Adrenalectomy can be performed in two ways. The type of surgery you will undergo depends on the problem being treated.
- In the "open" surgery, the surgeon makes one large surgical cut to remove the gland.
- With the "laparoscopic" technique, several small cuts are made.
The surgeon will discuss which approach is better for you.
For the surgery, you will be placed under general anesthesia (asleep and pain-free).
After the adrenal gland is removed, it is always sent to a pathologist for examination under a microscope.
Why the Procedure is Performed
The adrenal gland is removed when there is known cancer or a growth (mass) that might be cancer.
Sometimes a mass in the adrenal gland is removed because it releases a hormone that can cause harmful side effects.
- One of the most common tumors is a pheochromocytoma, which can cause very high blood pressure
- Other disorders include Cushing syndrome, Conn syndrome, and an adrenal mass of unknown cause
Recovery
As with any operation, there will be discomfort after surgery.
- Your health care provider will prescribe pain medications.
- You may need stool softeners to avoid constipation.
- Your surgeon will give you instructions about restricting your activities.
Most patients who undergo laparoscopic adrenalectomy have a shorter hospital stay, less pain, and faster recovery compared to the open procedure.
Complete recovery from the procedure may take several weeks or longer, depending on the type of surgical cuts you have.
Outlook (Prognosis)
It is important to have the procedure done at a center that is experienced in adrenal gland removal.
Risks of Adrenalectomy
With any operation or anesthesia, there is a slight risk of:
- Blood clots in the legs that may travel to the lungs
- Breathing problems
- Damage to nearby organs in the body
- Heart attack or stroke
- Infection or bleeding
- Reactions to medicines
- Wound that breaks open or bulging tissue through the incision (incisional hernia)
Learn more about Adrenalectomy
Reviewed By: Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Copyright 2011 A.D.A.M., Inc.
