Transperitoneal Versus Retroperitoneal Laparoscopic Adrenalectomy

  • Amudhan Pugalenthi
  • Eren BerberEmail author
Part of the Difficult Decisions in Surgery: An Evidence-Based Approach book series (DDSURGERY)


Over the last two decades, laparoscopic adrenalectomy (LA) has become the gold standard for the removal of benign adrenal tumors. There are two approaches that are popular. Gagner et al. demonstrated the laparoscopic transperitoneal approach in 1992. A year later, Mercan described the posterior retroperitoneal approach. Laparoscopic transperitoneal adrenalectomy (LTA) was the approach initially adopted by surgeons because of a familiar anatomy, but recently the posterior retroperitoneal adrenalectomy (PRA) has gained widespread acceptance because of avoidance of intra-abdominal organs during resection. Although proponents of each approach claim superiority of one method over other, there is no conclusive data available in the literature that demonstrates the superiority of one over the other. In this article, we will compare the outcomes from published data on the retroperitoneal and transperitoneal approach for adrenalectomy with evidence using the GRADE approach.


Laparoscopy Transperitoneal Posterior Retroperitoneal Adrenalectomy 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Endocrine SurgeryCleveland ClinicClevelandUSA

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