Laparoscopic Adrenalectomy

Having decided that the adrenal gland is to be removed, there is a choice between open surgery and laparoscopy.

Laparoscopy has become accepted as the standard approach for most adrenal problems, the open technique applying only in specific situations. Laparoscopy is associated with less pain, fewer problems and superior recovery when compared to the open procedure, allowing earlier return to normal function and fewer long-term complications. It follows the same principles as open surgery and achieves similar results in terms of cure of the underlying condition. The wounds are smaller, have fewer complications and are cosmetically better than that for open surgery. However, the technique is more difficult and more expensive, with longer operating times.

The procedure is performed under general anaesthetic. Recovery is generally quick, with a hospital stay of 1-3 days and return to normal activities by 2 weeks.

Although most cases proceed without particular difficulty and have excellent outcomes, surgical complications occur overall in 5% of patients. Those recognised as common or serious are listed below but this does not include the rare and extraordinary. From data on fit kidney donors, risk of death is 0.03%. We try at all costs to avoid any adverse outcome.

This fact sheet complements the discussion during your consultation, which will apply your individual circumstances to the above facts.