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Adrenal Gland Surgery

  • Sarah ThompsonEmail author
  • David Walsh
  • Brendon J. Coventry
Chapter
Part of the Surgery: Complications, Risks and Consequences book series (SCRC)

Abstract

Adrenal surgery encompasses procedures for a variety of conditions that typically produce an adrenal mass either unilaterally (most commonly) or bilaterally. The approach to adrenal surgery has undergone a revolution with the advent and development of laparoscopic surgery, although not all adrenal surgery is appropriate, nor safe, using this technique. This chapter aims to provide information concerning complications, risks, and consequences of adrenal surgery. For other procedures, refer to other relevant chapters and volumes.

Keywords

Adrenal Gland Adrenal Insufficiency Primary Aldosteronism Laparoscopic Adrenalectomy Adrenal Vein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading, References, and Resources

Laparoscopic Adrenalectomy

  1. Brunt LM. The positive impact of laparoscopic adrenalectomy on complications of adrenal surgery. Surg Endosc. 2002;16(2):252–7.PubMedCrossRefGoogle Scholar
  2. Clemente CD. Anatomy – a regional atlas of the human body. 4th ed. Baltimore: Williams and Wilkins; 1997.Google Scholar
  3. Corcione F, Esposito C, Cuccurullo D, Settembre A, Fusco F, Bianco A, Cusano T. Vena cava injury. A serious complication during laparoscopic right adrenalectomy. Surg Endosc. 2001;15(2):218.PubMedGoogle Scholar
  4. Gagner M, Pomp A, Heniford BT, Pharand D, Lacroix A. Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg. 1997;226(3):238–46.PubMedCrossRefGoogle Scholar
  5. Henry JF, Defechereux T, Raffaelli M, Lubrano D, Gramatica L. Complications of laparoscopic adrenalectomy: results of 169 consecutive procedures. World J Surg. 2000;24(11):1342–6.PubMedCrossRefGoogle Scholar
  6. Henry JF, Sebag F, Iacobone M, Mirallie E. Results of laparoscopic adrenalectomy for large and potentially malignant tumors. World J Surg. 2002;26(8):1043–7.PubMedCrossRefGoogle Scholar
  7. Jamieson G, Swanstrom L. Chapter 18. Adrenalectomy: the anatomy of the adrenal gland and open and laparoscopic approaches to the retroperitoneum. In: Glyn J, editor. The anatomy of general surgical operations. 2nd ed. London: Elsevier; 2006. p. 90–3.Google Scholar
  8. Kuruba R, Gallagher SF. Current management of adrenal tumors. Curr Opin Oncol. 2008;20(1):34–46.Google Scholar
  9. MacGillivray DC, Khwaja K, Shickman SJ. Confluence of the right adrenal vein with the accessory right hepatic veins. A potential hazard in laparoscopic right adrenalectomy. Surg Endosc. 1996a;10(11):1095–6.PubMedCrossRefGoogle Scholar
  10. MacGillivray DC, Shichman SJ, Ferrer FA, Malchoff CD. A comparison of open vs laparoscopic adrenalectomy. Surg Endosc. 1996b;10(10):987–90.PubMedCrossRefGoogle Scholar
  11. Porpiglia F, Destefanis P, Fiori C, Giraudo G, Garrone C, Scarpa RM, Fontana D, Morino M. Does adrenal mass size really affect safety and effectiveness of laparoscopic adrenalectomy? Urology. 2002;60(5):801–5.PubMedCrossRefGoogle Scholar
  12. Porpiglia F, Fiori C, Bovio S, Destefanis P, Alì A, Terrone C, Fontana D, Scarpa RM, Tempia A, Terzolo M. Bilateral adrenalectomy for Cushing’s syndrome: a comparison between laparoscopy and open surgery. J Endocrinol Invest. 2004a;27(7):654–8.PubMedGoogle Scholar
  13. Porpiglia F, Fiori C, Tarabuzzi R, Giraudo G, Garrone C, Morino M, Fontana D, Scarpa RM. Is laparoscopic adrenalectomy feasible for adrenocortical carcinoma or metastasis. BJU Int. 2004b;94(7):1026–9.PubMedCrossRefGoogle Scholar
  14. Singh PK, Buch HN. Adrenal incidentaloma: evaluation and management. J Clin Pathol. 2008;61(11):1168–73.Google Scholar
  15. Terachi T, Yoshida O, Matsuda T, Orikasa S, Chiba Y, Takahashi K, Takeda M, Higashihara E, Murai M, Baba S, Fujita K, Suzuki K, Ohshima S, Ono Y, Kumazawa J, Naito S. Complications of laparoscopic and retroperitoneoscopic adrenalectomies in 370 cases in Japan: a multi-institutional study. Biomed Pharmacother. 2000;54 Suppl 1:211s–4.PubMedCrossRefGoogle Scholar
  16. Thompson SK, Hayman AV, Ludlam WH, Deveney CW, Loriaux DL, Sheppard BC. Improved quality of life after bilateral adrenalectomy for Cushing’s disease: a 10-year experience. Ann Surg. 2007;245(5):790–4Google Scholar

Open Adrenalectomy

  1. Clemente CD. Anatomy – a regional atlas of the human body. 4th ed. Baltimore: Williams and Wilkins; 1997.Google Scholar
  2. Jamieson G, Swanstrom L. Chapter 18. Adrenalectomy: the anatomy of the adrenal gland and open and laparoscopic approaches to the retroperitoneum. In: Glyn J, editor. The anatomy of general surgical operations. 2nd ed. London: Elsevier; 2006. p. 90–3.Google Scholar
  3. Kuruba R, Gallagher SF. Current management of adrenal tumors. Curr Opin Oncol. 2008;20(1):34–46.Google Scholar
  4. MacGillivray DC, Shichman SJ, Ferrer FA, Malchoff CD. A comparison of open vs laparoscopic adrenalectomy. Surg Endosc. 1996;10(10):987–90.Google Scholar
  5. Porpiglia F, Fiori C, Bovio S, Destefanis P, Alì A, Terrone C, Fontana D, Scarpa RM, Tempia A, Terzolo M. Bilateral adrenalectomy for Cushing’s syndrome: a comparison between laparoscopy and open surgery. J Endocrinol Invest. 2004c;27(7):654–8.Google Scholar
  6. Singh PK, Buch HN. Adrenal incidentaloma: evaluation and management. J Clin Pathol. 2008;61(11):1168–73.Google Scholar
  7. Thompson SK, Hayman AV, Ludlam WH, Deveney CW, Loriaux DL, Sheppard BC. Improved quality of life after bilateral adrenalectomy for Cushing’s disease: a 10-year experience. Ann Surg. 2007;245(5):790–4Google Scholar

Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Sarah Thompson
    • 1
    Email author
  • David Walsh
    • 2
  • Brendon J. Coventry
    • 3
  1. 1.Oesophagogastric and Upper GI UnitDiscipline of Surgery, University of Adelaide, Royal Adelaide HospitalAdelaideAustralia
  2. 2.Breast, Endocrine and Surgical Oncology Unit, Discipline of Surgery, The Queen Elizabeth HospitalThe University of AdelaideAdelaideAustralia
  3. 3.Discipline of Surgery, Breast, Endocrine and Surgical Oncology UnitRoyal Adelaide Hospital, University of AdelaideAdelaideAustralia

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