ADRENALECTOMY

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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. 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.

Overview

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
Adrenalectomy can be performed in two ways.

In the “open” surgery, the surgeon makes one large surgical cut to remove the gland.
With the robotic technique, several small cuts are made
These minimally invasive robotic techniques have translated into a significant benefit to patients including

  • Reduced blood loss and transfusions,
  • reduced pain,
  • shorter hospital stays,
  • improved cosmesis
  • shorter hospital stays,
  • and a faster recovery as compared to open surgery

While open surgery requires either a large abdominal or flank incision, minimally invasive approaches involve 3-4 keyhole incisions in the abdomen. Most patients with adrenal tumors who are candidates for open surgery are also excellent candidates for a robotic approach. These minimally invasive approaches have become the standard of care for most adrenal tumors.

Patients with very large tumors or tumors invading surrounding structures e.g. vena cava, kidney, liver, bowel may be best served by an open approach due to the extent and need for adjacent organ resection

CT Scan showing bilateral adrenal tumor

Medical conditions such as severe lung and heart disease may not be able to tolerate a robotic approach.

The Da Vinci System

Da Vinci Robotic systems ovecomes the traditional limitations of the open and laparoscopic surgery by Filtering and seamlessly translating the surgeon’s hand movements into precise micro-movements.

The System cannot be programmed and it cannot make decisions on its own. The da Vinci System requires that every surgical maneuver be performed with direct input from your surgeon.

With da Vinci, small incisions are used to introduce miniaturized wristed instruments and a high-definition 3D camera. Seated comfortably at the da Vinci console, your surgeon views a magnified, high-resolution 3D image of the surgical site.