Operative Technique
November 1, 2004

Performing Laparoscopic Adrenalectomy Safely

Author Affiliations

Author Affiliations: Department of Surgery, Georgetown University Medical Center (Dr Kalan), and the Division of Nephrology and Hypertension (Drs Kulick and Wilcox), Cardiovascular-Kidney Institute (Dr Wilcox), and Department of Surgery (Dr Garcia), Georgetown University School of Medicine (Dr Tillou), Washington, DC.




Copyright 2004 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2004

Arch Surg. 2004;139(11):1243-1247. doi:10.1001/archsurg.139.11.1243

As is the case with many minimally invasive surgical techniques, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal tumors. Several techniques are in use today. In this article we describe 1 such technique, highlight the common pitfalls encountered by the surgeon, and discuss how to avoid them.

Studies have shown a steady and significant decrease in the frequency and number of complications with the laparoscopic procedure when compared with the open technique.1However, critical steps of the minimal-access operation may be accompanied by severe pitfalls for the unwary surgeon. This article highlights these complications and suggests ways to prevent them.

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