Show Summary Details
Page of

Adrenal surgery 

Adrenal surgery
Chapter:
Adrenal surgery
Author(s):

Sabapathy P. Balasubramanian

and Barney J. Harrison

DOI:
10.1093/med/9780199235292.003.0522
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 16 June 2019

The indications for adrenal surgery and techniques employed have evolved significantly in the last 20 years. The need for adrenalectomy has increased due to:

increased use of abdominal CT/MRI that identifies adrenal incidentalomas

the more frequent biochemical diagnosis of subclinical hormonal syndromes.

The operative approach has changed with the availability of minimal access surgery; this has significant advantages for the patient in terms of reduced morbidity and faster recovery (1).

Despite these changes, the fundamental principles of adrenal surgery have remained unchanged:

Biochemical investigations should be performed before localization studies and/or surgical intervention.

Biopsy is rarely indicated in the investigation of adrenal lesions and is confined to confirmation of adrenal metastasis, suspected lymphoma, tuberculosis, or histoplasmosis. It should only be performed after biochemical assessment has excluded phaeochromocytoma.

Close collaboration with colleagues in endocrinology, biochemistry, and radiology is essential for good outcomes.

This chapter will focus on the surgical aspects of treatment. The pathology of adrenal disease, details of biochemical and radiological investigations, and the nonsurgical modalities of treatment are covered elsewhere.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.