An adrenalectomy is surgery to remove your left and/or right adrenal gland when you have a tumor on your adrenal gland that is producing hormones, is suspicious for cancer, large, or growing significantly.

Most patients are candidates for minimally invasive, laparoscopic adrenalectomy (ie, using 3-4 very small incisions and a camera) to remove the affected adrenal gland.

Research has proven that the chance of having a safe and successful adrenal surgery depends on the experience of the surgeon. Dr. Goldfarb is an expert in endocrine and adrenal disorders and high volume adrenal surgeon.

Types of Adrenal Surgery

Your diagnosis as well as the size of your adrenal tumor may impact the type of procedure recommended by your surgeon.

Laparoscopic Transabdominal Adrenalectomy

This is the most common minimally invasive approach utilized by surgeons to remove the adrenal gland. 3-4 small incisions will be made under your rib cage which the surgeon will use to access the adrenal gland by going through the abdominal cavity. Generally, the entire adrenal gland is removed during surgery. This leaves you with one whole, healthy gland on the other side, which will provide all the hormonal control that you need.

Open adrenalectomy

A large abdominal incision is used when there is a diagnosis or a strong suspicion of adrenal cancer before your surgery. Occasionally, other large may also require an open operation. When performed for cancer, en bloc resection of surrounding lymph nodes and any invaded organs is also performed.

Partial Adrenalectomy

In special circumstances, such as patients with bilateral tumors or hereditary syndromes, a partial or cortical-sparing adrenalectomy (where we leave a small part of normal adrenal tissue behind) may be performed. This can be done laparoscopically.

What to Expect the Day of Surgery – Commonly Asked Questions

After Adrenal Surgery