Evaluation and Technique of Laparoscopic Adrenalectomy

  • Frank G. Scholl
  • Barbara K. Kinder


A. M. Shipley performed the resection of the first preoperatively diagnosed pheochromocytoma in 1927 using an open anterior approach. Since then, a number of techniques for accessing the adrenal glands have been proposed. The introduction of the posterior retroperitoneal approach by Young in 1936 allowed surgeons the ability to operate on adrenal pathology without opening the abdomen. With the advent of high-quality optics and improved laparoscopic instrumentation in the late 1980s, a laparoscopic approach to the adrenals became feasible. Gagner and Higashihara both reported successful laparoscopic adrenalectomy in 1992.1,2 Since that time, there have been several reports of safe and effective laparoscopic treatment of functional and nonfunctional adrenal disease.3–9


Primary Aldosteronism Adrenal Tumor Adrenal Mass Laparoscopic Adrenalectomy Adrenal Vein 
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  1. 1.
    Gagner M, Lacroix A, Boite E. Laparoscopic adrenalectomy in Cushing’s syndrome and pheochromocytoma [letter]. N Engl J Med 1992;327:1033.PubMedCrossRefGoogle Scholar
  2. 2.
    Higashihara E, Tanaka Y, Horie S, et al. [A case report of laparoscopic adrenalectomy]. Nippon Hinyokika Gakkai Zasshi 1992;83:1130–1133.PubMedGoogle Scholar
  3. 3.
    Guazzoni G, Montorsi F, Bergamaschi F, et al. Effectiveness and safety of laparoscopic adrenalectomy. J Urol 1994;152:1375–1378.PubMedGoogle Scholar
  4. 4.
    Go H, Takeda M, Takahashi H, et al. Laparoscopic adrenalectomy for primary aldosteronism: a new operative method. J Laparoendosc Surg 1993;3:455–459.PubMedCrossRefGoogle Scholar
  5. 5.
    Go H, Takeda M, Imai T, et al. Laparoscopic adrenalectomy for Cushing’s syndrome: comparison with primary aldosteronism. Surgery 1995;117:11–17.PubMedGoogle Scholar
  6. 6.
    Gagner M, Breton G, Pharand D, et al. Is laparoscopic adrenalectomy indicated for pheochromocytomas? Surgery 1996;120:1076–1079; discussion 1079-1080.PubMedCrossRefGoogle Scholar
  7. 7.
    Takeda M, Go H, Imai T, et al. Laparoscopic adrenalectomy for primary aldosteronism: report of initial ten cases. Surgery 1994;115:621–625.PubMedGoogle Scholar
  8. 8.
    Fletcher DR, Beiles CB, Hardy KJ. Laparoscopic adrenalectomy. Aust N Z J Surg 1994;64:427–430.PubMedCrossRefGoogle Scholar
  9. 9.
    Hansen P, Bax T, Swanstrom L. Laparoscopic adrenalectomy: history, indications, and current techniques for a minimally invasive approach to adrenal pathology. Endoscopy 1997;29:309–314.PubMedCrossRefGoogle Scholar
  10. 10.
    Duh QY, Siperstein AE, Clark OH, et al. Laparoscopic adrenalectomy. Comparison of the lateral and posterior approaches. Arch Surg 1996;131:870–875; discussion 875-876.PubMedCrossRefGoogle Scholar
  11. 11.
    Gagner M, Lacroix A, Prinz RA, et al. Early experience with laparoscopic approach for adrenalectomy. Surgery 1993;114:1120–1124; discussion 1124-1125.PubMedGoogle Scholar
  12. 12.
    McDougall EM, Clayman RV. Advances in laparoscopic urology. Part I. History and development of procedures. Urology 1994;43:420–426.PubMedCrossRefGoogle Scholar
  13. 13.
    Gagner M, Pomp A, Heniford BT, et al. Laparoscopic adrenalectomy—lessons learned from 100 consecutive procedures. Ann Surg 1997;226:238–246.PubMedCrossRefGoogle Scholar
  14. 14.
    Caplan RH, Strutt PJ, Wickus GG. Subclinical hormone secretion by incidentally discovered adrenal masses. Arch Surg 1994;129:291–296.PubMedCrossRefGoogle Scholar
  15. 15.
    Gagner M, Lacroix A, Boite E, et al. Laparoscopic adrenalectomy. The importance of a flank approach in the lateral decubitus position. Surg Endosc 1994;8:135–138.PubMedCrossRefGoogle Scholar
  16. 16.
    Brunt LM, Doherty GM, Norton JA, et al. Laparoscopic adrenalectomy compared to open adrenalectomy for benign adrenal neoplasms [see comments]. J Am Coll Surg 1996;183:1–10.PubMedGoogle Scholar
  17. 17.
    Jacobs JK, Goldstein RE, Geer RJ. Laparoscopic adrenalectomy. A new standard of care. Ann Surg 1997;225:495–501; discussion 501-502.Google Scholar
  18. 18.
    Korman JE, Ho T, Hiatt JR, et al. Comparison of laparoscopic and open adrenalectomy. Am Surg 1997;63:908–912.PubMedGoogle Scholar
  19. 19.
    Ishikawa T, Sowa M, Nagayama M, et al. Laparoscopic adrenalectomy: comparison with the conventional approach. Surg Laparosc Endosc 1997;7:275–280.PubMedCrossRefGoogle Scholar
  20. 20.
    Horgan S, Sinanan M, Helton WS, et al. Use of laparoscopic techniques improves outcome from adrenalectomy. Am J Surg 1997;173:371–374.PubMedCrossRefGoogle Scholar
  21. 21.
    Guazzoni G, Montorsi F, Bocciardi A, et al. Transperitoneal laparoscopic versus open adrenalectomy for benign hyperfunctioning adrenal tumors: a comparative study [see comments]. J Urol 1995;153:1597–1600.PubMedCrossRefGoogle Scholar
  22. 22.
    Prinz RA. A comparison of laparoscopic and open adrenalectomies. Arch Surg 1995;130:489–489; discussion 492-494.PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Frank G. Scholl
  • Barbara K. Kinder

There are no affiliations available

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