J Endocr Surg.  2023 Mar;23(1):1-6. 10.16956/jes.2023.23.1.1.

Various Methods for Laparoscopic Adrenalectomy

• Kim K

• KMID: 2549287
• DOI: http://doi.org/10.16956/jes.2023.23.1.1

Abstract

Laparoscopic adrenalectomy (LA) is a minimally invasive surgical procedure that emerged as the preferred treatment method for adrenal tumors. LA has 4 main methods: transperitoneal, retroperitoneal, hand-assisted, and robot-assisted. Transperitoneal LA provides excellent visualization of the adrenal gland and surrounding structures and is well-suited for tumors in difficult locations. Posterior retroperitoneoscopic adrenalectomy is a quick procedure with less postoperative pain and discomfort, making it an excellent option for smaller tumors in easy-to-reach locations. Hand-assisted LA combines the benefits of laparoscopic surgery with the tactile feedback of traditional open surgery. It is a good option for larger tumors or in patients with obesity. A robot-assisted LA is a good option for complex cases because it enables the surgeon to have greater precision and control of the surgical instruments. The choice of the LA technique should be made on a case-by-case basis, considering the patient’s factors and the surgeon’s experience and preference. Thorough preoperative evaluation and careful patient selection are essential for optimal surgical outcomes.

Keyword

Adrenalectomy; Minimally invasive surgical procedures; Laparoscopy