You will be given IV fluids, antibiotics, and steroid medicines.
With the laparoscopic approach, the doctor will make 3-4 small incisions in the abdomen. A tiny camera will be passed through one of these openings. To allow a better view, the abdomen will be filled with gas. Other tools will be used to separate the adrenal gland from the kidney. The gland will then be removed through an incision. Stitches or staples will be used to close the incisions. Small bandages will be placed.
The doctor may place a tiny, flexible tube where the gland was removed. This tube will drain fluids that may build up. It will be removed within one week.
The doctor may need to switch to an open surgery if there are any problems.
Immediately After Procedure
You will be monitored in the recovery room.
How Long Will It Take?
How Much Will It Hurt?
You will have pain or soreness. Your doctor will give you pain medicine.
Average Hospital Stay
At the Hospital
You may be nauseated for a few hours after surgery. You may have a tube placed down your nose and into your stomach. This is to drain fluids and stomach acid. You will be able to eat and drink once the tube is removed and you are no longer nauseated.
You may be given special compression stockings to decrease the possibility of blood clots forming in your legs.
Your body may be making less steroid hormones. Your doctor may start you on steroid medicines .
Recovery time may be 7-10 days. To help ensure a smooth recovery:
Your doctor will monitor your steroid hormones and make sure that you have the right dose of medicine.
Weigh yourself daily. Report to your doctor any weight gain of two or more pounds over 24 hours. This may indicate that you are retaining fluid.
Monitor your blood pressure regularly.
Increase your physical activity according to your doctor's instructions. This will help you avoid respiratory problems and improve the recovery of your digestive system.
Follow your doctor’s instructions.
Call Your Doctor
After you leave the hospital, contact your doctor if any of the following occurs:
Signs of infection, including fever and chills
Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
Nausea and/or vomiting
Pain that you cannot control with your medicine
Pain, burning, urgency, or frequency of urination; persistent bleeding in the urine
Cough, shortness of breath, or chest pain
Pain and/or swelling in your feet, calves, or legs
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Gallagher SF, Wahi M, Haines KL, et al. Trends in adrenalectomy rates, indications, and physician volume: A statewide analysis of 1816 adreanlectomies.
Hanssen WE, Kuhry E, Casseres YA. Safety and efficacy of endoscopic retroperitoneal adrenalectomy.
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Jossart GH, Burpee SE, Gagner M. Surgery of the adrenal glands.
Endocrinol Metab Clin North Am. 2000;29:57-68.
Munver R, Del Pizzo JJ, Sosa RE. Adrenal-preserving minimally invasive surgery: the role of laparoscopic partial adrenalectomy, cryosurgery, and radiofrequency ablation of the adrenal gland.
Curr Urol Rep. 2003;4:87-92.
Pamaby CN. The role of laparoscopic adrenalectomy for adrenal tumours of 6 cm or greater.
Rakel RE, Conn HF.
Conn's Current Therapy 2000. Houston, TX: WB Saunders Co.; 1999.
Thompson SK, Hayman AV, Ludlam WH, et al. Improved quality of life after bilateral laparoscopic adrenalectomy for Cushing’s disease: a 10-year experience.
Ann Surg. 2007;245:790-94.
Townsend C, Beauchamp DR, et al.
Sabiston Textbook of Surgery. 16th ed. WB Saunders; 2001.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a