Adrenal glands open adrenalectomy laparoscopic adrenalectomy

Abstract

The anterior transabdominal approach was once the standard operative procedure for almost all adrenal lesions. This chapter describes alternative approaches that may provide better exposure for specific types of tumors or permit excision of the adrenal tumor with decreased morbidity. In addition to the anterior abdominal approach, alternative surgical approaches that are discussed include, the posterior approach, posterolateral extraperitoneal approach, thoracoabdomi-nal approach, thoracolumbar approach, and minimally invasive approaches. One of us (R.S.F.) has found each of the open procedures useful for specific adrenal tumors and four of us (J.G.H., H.S., C.D.S., S.S.D.) have performed endoscopic adrenalectomies © 2010 Springer-Verlag Berlin Heidelberg.