✦ Adrenal Tumor Treatment

Laparoscopic Adrenalectomy

Q: Is laparoscopic adrenalectomy safe for phaeochromocytoma?

Yes — with careful pre-operative alpha-blockade and experienced anaesthesia, laparoscopic adrenalectomy is safe and preferred for phaeochromocytoma. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Q: Which side is more technically challenging?

Right adrenalectomy requires careful management of the short right adrenal vein draining directly into the vena cava; left adrenalectomy is generally less demanding.

Q: What are the hormone changes after adrenalectomy?

After Cushing's adenoma removal, temporary steroid supplementation is needed; after Conn's adenoma, blood pressure and potassium typically normalise. Your consultant will provide specific guidance based on your individual clinical situation and recovery.

Minimally Invasive Removal of Adrenal Tumors via Laparoscopy

60–120 min PROCEDURE

1–3 Days HOSPITAL STAY

>97% SUCCESS RATE

2–3 Weeks RECOVERY

What is Laparoscopic Adrenalectomy?

Laparoscopic Adrenalectomy is the gold-standard surgical treatment for most adrenal tumors, including phaeochromocytoma, Conn's adenoma (primary hyperaldosteronism), Cushing's adenoma, and non-functioning adrenal adenomas requiring removal. The adrenal gland and tumor are removed through 3–4 small laparoscopic ports using a transabdominal or posterior retroperitoneoscopic approach. Laparoscopic adrenalectomy offers excellent visualisation, minimal blood loss, and rapid recovery compared to open surgery. The procedure is performed under general or spinal anaesthesia with a hospital stay of 1–3 Days. Success rates reach >97% in appropriately selected patients at experienced centres.

Patients with functional adrenal adenomas, phaeochromocytoma, cortical carcinoma <6 cm, incidentaloma with growth or hormonal activity, or adrenal metastases requiring excision. Patients must be adequately fit for anaesthesia and free from active systemic infection before proceeding.

How the Procedure Works

Port Placement

Laparoscopic ports placed using transabdominal lateral or posterior retroperitoneoscopic approach.

Dissection & Mobilisation

Adrenal gland identified; surrounding fat and vessels mobilised meticulously.

Adrenal Vein Division

For phaeochromocytoma: adrenal vein divided early to prevent catecholamine surge during manipulation.

Gland Dissection

Adrenal gland and tumor dissected free from surrounding structures.

Specimen Retrieval & Closure

Specimen placed in retrieval bag; haemostasis confirmed; port sites closed.

Outcomes

60–120 minDURATION

1–3 DaysHOSPITAL STAY

>97%SUCCESS RATE

2–3 WeeksFULL RECOVERY

Who Needs This Treatment?

→Gold standard for most adrenal tumors — superior outcomes versus open surgery.
→Minimal blood loss and post-operative pain.
→Short hospital stay — typically discharged within 1–3 days.
→Excellent visualisation of the adrenal vein and surrounding structures.
→Rapid return to normal activities within 2–3 weeks.
→Suitable for phaeochromocytoma with careful anaesthetic preparation.

"Laparoscopic adrenalectomy has transformed adrenal surgery. The combination of excellent visualisation, minimal blood loss, and rapid recovery makes it the preferred approach for the vast majority of adrenal tumors we treat."

— — Dr. Vipin Reddy, Consultant Urologist, Andrologist & Renal Transplant Surgeon

Common Questions

Frequently Asked

Is laparoscopic adrenalectomy safe for phaeochromocytoma?+

Which side is more technically challenging?+

What are the hormone changes after adrenalectomy?+

Not sure which treatment is right for you?

Book a consultation with Dr. Vipin Reddy and get a personalised treatment plan.

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