Adrenalectomy is an operation in which one or both adrenal glands are removed. The adrenal glands are part of the endocrine system and are located just above the kidneys.
Description
Adrenalectomy can be performed in two ways. The type of surgery you will undergo depends on the problem being treated.
In the "open" surgery, the surgeon makes one large surgical cut to remove the gland.
With the "laparoscopic" technique, several small cuts are made.
The surgeon will discuss which approach is better for you.
For the surgery, you will be placed under general anesthesia (asleep and pain-free).
After the adrenal gland is removed, it is always sent to a pathologist for examination under a microscope.
Indications
The adrenal gland is removed when there is known cancer or a growth (mass) that might be cancer.
Sometimes a mass in the adrenal gland is removed because it releases a hormone that can cause harmful side effects.
Risks
With any operation or anesthesia, there is a slight risk of:
Blood clots in the legs that may travel to the lungs
Breathing problems
Damage to nearby organs in the body
Heart attack or stroke
Infection or bleeding
Reactions to medicines
Wound that breaks open or bulging tissue through the incision (incisional hernia)
Expectations after surgery
It is important to have the procedure done at a center that is experienced in adrenal gland removal.
Before You Have the Procedure
Always tell your doctor or nurse:
During the days before the surgery:
You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), and other drugs like these.
Ask your doctor which drugs you should still take on the day of the surgery.
Do not smoke. This will help you recover more quickly.
On the day of the surgery:
Your doctor or nurse will tell you what you can drink or eat the night before and the day of the surgery.
Take the drugs your doctor told you to take with a small sip of water.
Your doctor or nurse will tell you when to arrive at the hospital.
Convalescence
As with any operation, there will be discomfort after surgery.
Your health care provider will prescribe pain medications.
You may need stool softeners to avoid constipation.
Your surgeon will give you instructions about restricting your activities.
Most patients who undergo laparoscopic adrenalectomy have a shorter hospital stay, less pain, and faster recovery compared to the open procedure.
Complete recovery from the procedure may take several weeks or longer, depending on the type of surgical cuts you have.
References
- Duh QY, Yeh MW. The adrenal glands. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 39.
