Abstract
Purpose: Laparoscopic adrenalectomy is a widely accepted surgical approach for treating most adrenal masses. This chapter will briefly discuss the differential diagnosis of adrenal masses, and review preoperative considerations, surgical approaches, postoperative management, and complications associated with adrenal surgery.
Method: In the era of imaging, most adrenal masses are diagnosed incidentally. A thorough endocrine evaluation is recommended for all patients with adrenal masses. A multi-specialty approach, including input from endocrinologists, anesthesiologists, and surgeons is recommended to ensure the best possible patient outcomes. Minimally invasive surgical techniques for adrenal surgery discussed include transperitoneal, robot-assisted transperitoneal, retroperitoneal, partial, needlescopic, and natural orifice approaches.
Conclusion: Laparoscopic adrenalectomy is generally considered the standard of care for treating most adrenal masses. It is safe when performed by experienced surgeons and maximizes the benefits of minimally invasive surgical approaches for patients.
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Ko, E.Y., Schlinkert, R.T., Humphreys, M.R. (2011). Laparoscopic and Robotic Adrenalectomy. In: Joseph, J., Patel, H. (eds) Retroperitoneal Robotic and Laparoscopic Surgery. Springer, London. https://doi.org/10.1007/978-0-85729-485-2_4
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DOI: https://doi.org/10.1007/978-0-85729-485-2_4
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