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Adrenal Glands

Open Adrenalectomy

Laparoscopic Adrenalectomy

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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

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Suggested Readings

  • Chino ES, Thomas CG. An extended Kocher incision for bilateral adrenalectomy. Am J Surg. 1985;149:292–4

    Article  PubMed  CAS  Google Scholar 

  • Davie TB. Renal-adrenal adherence. Br J Surg. 1935;22:428–32

    Article  Google Scholar 

  • Guz BV, Straffon RA, Novick AC. Operative approaches to the adrenal gland. Urol Clin North Am. 1989;16(3):527–34

    PubMed  CAS  Google Scholar 

  • Irvin GL III, Fishman LM, Sher JA, et al. Pheochromocytoma: lateral versus anterior operative approach. Ann Surg. 1989;209:774–8

    Article  PubMed  Google Scholar 

  • Merendino KA. The intradiaphragmatic distribution of the phrenic nerve. Surg Clin North Am. 1964;44:1217–26

    Google Scholar 

  • Merklin RJ, Michels NA. The variant renal and suprarenal blood supply with data on inferior phrenic, ureteral and gonadal arteries: a statistical analysis based on 185 dissections and review of the literature. J Int Coll Surg. 1958;29:41–76

    PubMed  CAS  Google Scholar 

  • Prinz RA. Mobilization of the right lobe of the liver for right adrenalectomy. Am J Surg. 1990;159:336–8

    Article  PubMed  CAS  Google Scholar 

  • Sarkar R, Thompson NW, McLeod MK. The role of adrenalectomy in Cushing 's syndrome. Surgery. 1990;108:1079–84

    PubMed  CAS  Google Scholar 

Suggested Readings

  • Assalia GM. Laparoscopic adrenalectomy. Br J Surg. 2004;91:1259

    Article  PubMed  CAS  Google Scholar 

  • Brunt LM, Moley JF. Adrenal incidentaloma. World J Surg. 2001;25:905

    Article  PubMed  CAS  Google Scholar 

  • Duh QY, Siperstein AE, Clark OH, et al Laparoscopic adrenalectomy. Comparison of the lateral and posterior approaches. Arch Surg. 1996;131:870

    Article  PubMed  CAS  Google Scholar 

  • Guazzoni G, Cestari A, Montorsi F, et al Laparoscopic treatment of adrenal disease: 10 years on. BJU Int. 2004;93:221

    Article  PubMed  CAS  Google Scholar 

  • Shen W, Sturgeon C, Duh Q. From Incidentaloma to adrenocortical carcinoma: the surgical management of adrenal tumors. J Surg Oncol. 2005;89:186

    Article  PubMed  Google Scholar 

  • Zhang X, Fu B, Lang B, et al Technique of anatomical retroperitoneoscopic adrenalectomy with report of 800 cases. J Urol. 2007;177:1254

    Article  PubMed  Google Scholar 

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© 2010 Springer-Verlag Berlin Heidelberg

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Foster, R.S., Hunter, J.G., Spivak, H., Smith, C.D., Davis, S.S. (2010). Adrenal Glands. In: Wood, W.C., Staley, C.A., Skandalakis, J.E. (eds) Anatomic Basis of Tumor Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74177-0_17

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  • DOI: https://doi.org/10.1007/978-3-540-74177-0_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-74176-3

  • Online ISBN: 978-3-540-74177-0

  • eBook Packages: MedicineMedicine (R0)

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