Open Transabdominal Adrenalectomy for Malignant Neoplasms

Abstract

Open adrenalectomy has become an uncommon operation. Minimal-access surgery has markedly improved perioperative morbidity of simple adrenalectomy, with decreased pain and a shorter hospital stay. Long-term results are equivalent in terms of outcome, so the minimal access route is to be preferred. The diminution in incisional hernia, when done by the posterior dorsal, lateral, or transabdominal open approach, is of itself sufficient to justify the minimal access approach.