Laparoscopic Adrenalectomy for Metastatic Cancer

  • B. Todd Heniford
  • Broc Pratt


Laparoscopic adrenalectomy was a relatively late addition to the field of laparoscopy, first reported by Gagner in 1992. Since that time, this approach has quickly grown from being an acceptable treatment option for removal of adrenal pathology to being the preferred modality for the vast majority of benign surgical adrenal disease.1–6 The growth of minimally invasive surgery has been fostered by improved instrumentation and surgical skill, propagation of the techniques through residency, fellowships, and postgraduate courses, and increasing patient and referring physician awareness of these operations. The small size of the gland, benign nature of most adrenal pathology, and the inherent difficulties and morbidity of open adrenalectomy have made laparoscopic adrenalectomy a particularly attractive treatment alternative. While its clinical efficacy is comparable to that of open adrenalectomy, laparoscopy offers a significantly reduced overall morbidity, a shorter hospital stay and recovery, and improved cosmesis.1–4 As mastery of the techniques and two-dimensional anatomy have flourished, some surgeons have successfully expanded their indications for laparoscopic adrenalectomy to include large nonfunctioning tumors with cancerous potential and metastatic disease.5–7


Renal Cell Carcinoma Adrenal Gland Adrenal Mass Laparoscopic Adrenalectomy Psoas Muscle 
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© Springer Science+Business Media New York 2001

Authors and Affiliations

  • B. Todd Heniford
  • Broc Pratt

There are no affiliations available

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