A member asked:

Adrenal gland removal- open from the back. please describe exact procedure. thanks <3 ?

7 doctors weighed in across 3 answers
Dr. David Geffner answered

Specializes in Endocrinology

Ask the surgeon: I don't know why the adrenal is being removed. Hopefully you were evaluated by an endocrinologist to see if an adrenal nodule was causing symptoms of an excess hormone. Otherwise nodules less than 3-4 cm can be watched. If there is a suspicion of hormone release or cancer the surgery can often be done percutaneously without using the old "open" chevron procedure.

Answered 4/3/2014

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Excision over the 12: Adrenal tumors vary in size and difficulty, the open approaches are either front or back , both have the advantages and disadvantages. Another approach is laparoscopic depending on the size of tumor.This is done from the side using multiple trocar sites. Less post op pain but limited to larger centers!

Answered 10/4/2016

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Dr. Richard Orr answered

Specializes in Surgical Oncology

Unusual: If the adrenal needs to be removed (usually for hormone producing symptoms or suspicion of cancer) it is usually done laparoscopically unless quite large or worrisome for an invasive cancer. In those cases, it may be approached through the abdomen or flank. Some surgeons remove adrenals through a minimally invasive approach similar to laparoscopy but with the patient lying on his abdomen.

Answered 3/26/2013

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