by Amy Scholten, MPH
Adrenalectomy is surgery to remove one or both adrenal glands. These glands are on top of the kidney. They make hormones to help the body to work properly.
Reasons for Procedure
This surgery is done to treat:
Problems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
What to Expect
Prior to Procedure
The surgical team may meet with you to talk about:
The doctor will give general anesthesia. You will be asleep.
Description of the Procedure
The doctor will make to 3 to 4 small incisions in the abdomen. A tiny camera will be passed through one of these openings. The abdomen will be filled with gas. The gas helps the doctor get a better view. Other tools will separate the adrenal gland from the kidney. The gland will then be removed through an incision. The incisions will be stitched or stapled closed. Small bandages will be placed over them.
A tiny, flexible tube may be placed where the gland was removed. This tube will drain fluids that may build up. It will be removed within 1 week.
The doctor may need to switch to an open surgery if there are any problems.
Immediately After Procedure
The adrenal gland (s) will be sent to a lab to be checked. You will be sent to a recovery room.
How Long Will It Take?
1½ to 3½ hours
Will It Hurt?
Pain and discomfort are common in the first 1 to 2 weeks. Medicine and self-care help.
Average Hospital Stay
2 to 3 days
At the Hospital
Right after the procedure, the staff may:
During your stay, the hospital staff will take steps to lower your risk of infection such as:
There are also steps you can take to lower your risk of infection such as:
It will take about 7 to 10 days to recover. Physical activity will be limited during this time. You will need to delay your return to work.
Call Your Doctor
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
Urology Care Foundation
National Institute of Diabetes and Digestive and Kidney Diseases
Canadian Urological Association
The Kidney Foundation of Canada
Adrenal gland removal (adrenalectomy). Society of American Gastrointestinal and Endoscopic Surgeon (SAGES) website. Available at: https://www.sages.org/publications/patient-information/adrenal-gland-removal-adrenalectomy-patient-information-from-sages/. Accessed September 27, 2021.
Adrenocorticotropic hormone measurement. EBSCO DynaMed website. Available at: https://www.dynamed.com/lab-monograph/adrenocorticotropic-hormone-measurement. Accessed September 27, 2021.
Buxton J, Vun SH, et al. Laparoscopic hand-assisted adrenalectomy for tumours larger than 5 cm. Clin Endocrinol (Oxf). 2019;90(1):74-78.
Cushing's syndrome. EBSCO Nursing Reference Center website. Available at: https://www.ebscohost.com/nursing/products/nursing-reference-center. Accessed September 27, 2021.
Laparoscopic adrenalectomy. Beth Israel Deaconess Medical Center website. Available at: https://www.bidmc.org/centers-and-departments/urology/urologic-procedures-traditional-and-minimally-invasive/laparoscopic-adrenalectomy. Accessed September 27, 2021.
Laparoscopic adrenalectomy. University of Maryland Medical Center website. Available at: https://www.umms.org/ummc/health-services/surgery/endocrine-surgery/laparoscopic-adrenalectomy. Accessed September 27, 2021.
Last reviewed July 2021 by EBSCO Medical Review Board Marcin Chwistek, MD
Last Updated: 9/27/2021
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