Adrenalectomy is an operation in which one or both adrenal glands are removed. The adrenal glands are part of the endocrine system and are located just above the kidneys.
Alternative NamesAdrenal gland removal; Removal of adrenal glands
DescriptionAdrenalectomy can be performed in two ways. In the "open" surgery, the surgeon makes one large surgical cut to remove the gland. With the "laparoscopic" technique, several small incisions are made. The surgeon will discuss which approach is better for you.
For the surgery, you will be placed under general anesthesia(unconscious and pain-free).
The adrenal gland is sent to a pathologist for examination under a microscope.
IndicationsThe adrenal gland is removed when there is known cancer or a growth (mass) that might be cancer.
Sometimes a mass in the adrenal gland is removed because it releases a hormone that can cause harmful side effects. One of the most common tumors is a pheochromocytoma. This tumor can cause very high blood pressure.
RisksWith any operation or anesthesia, there is a slight risk of:
It is important to have the procedure done at a center that is experienced in adrenal gland removal.
Before You Have the ProcedureYour surgeon will give you instructions about your diet, including when you should stop eating and drinking. Be sure to have a complete list of your medications so that your surgeon and anesthesiologist can give you instructions about them.
ConvalescenceAs with any operation, there will be discomfort after surgery.
Complete recovery from the procedure may take several weeks or longer, depending on the type of surgical cuts you have.
ReferencesYoung WF Jr. Adrenal medulla, catecholamines, and pheochromocytoma. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 246.