What is adrenalectomy?
Adrenallectomy is a surgery in which one or both patients are removed by open or laparoscopic methods. The adrenal glands, also called the suprarenal glands, are hormonal secreting glands located just above the kidneys in the back of the abdomen. Doctors usually recommend adrenallectomy if the patient has either benign or malignant tumors for the adrenal glands. The malignant tumor is a cancer tumor that gradually deteriorates and can spread to other tissues. The benign tumor does not grow or aggressively, but can cause further health problems and in some cases it can eventually become malignant. Hormones are chemical messengers that are sent by endocrine glands, such as the adrenal gland to allow the reaction of specific cells in the body. The adrenal glands are basically involved in the control of the stress reactions in the body.And, benign or malignant, can cause too many of these hormones to be released, maybe create adverse effects in the body. Some of thoseThis includes Cushing's syndrome and feocromocytoma, depending on the hormone that is excreted.
If the adrenal glands have a cancer tumor, a tumor that causes excessive hormone secretion, or if the gland activities worsen a different condition such as breast cancer, the doctor may recommend adrenallectomy. This can be done either laparoscopically or as an open surgery, depending on the patient's needs. The patient may be subject to medicines before surgery to control symptoms such as high blood pressure or low potassium levels. On the day of surgery, the anesthesiologist will administer general anesthesia through IV, a needle that injures the medicine directly into the bloodstream, so the pacific is unconscious during surgery.
If the patient has an open adrenallectomy, the surgeon will cut on one of the four places depending on the needs of eachthe case. In the front approach, the surgeon will be horizontal cut into the abdomen just below the chest basket. The cut can be limited to the right or left side if only one adrenal gland is removed. If both glands are affected, the cut can stretch horizontally over the entire abdomen or extend the abdomen vertically. The surgeon can achieve the adrenal glands directly directly by the rear approach, which takes one or two slices, depending on whether one or two glands need to be removed, to the back of the chest basket.
The physician may choose to access the adrenal gland by side access, especially when the patient is very obese. In this procedure, the patient lies on the one hand while the surgeon carries out on the other side. If two glands need to be removed, the surgeon must work on one side and stitch to one side, then turn the patient and repeat the procedure on the other side. Chest access to open adrenallectors is usually used when the tumor is very large or suspects that they are OVluisted by other organs. In this approach, the doctor is cut into the thoracic cavity to access and remove the adrenal gland.
Laparoscopic procedures are less invasive or require smaller slices than open adrenallectomy. In these operations, the surgeon performs four small slices on the side of the patients through which surgical tools and laparoscope are inserted. A laparoscope is a imaging device that allows the physician to visualize internal organs without opening the body with a larger cut. While laparoscopic adrenallectomy may have less risks of complications than open surgery, it is not ideal for all patients. Four inches (about 10 cm) or malignant tumors require more aggressive surgery and are better dealt with open adrenallectomy.