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Adrenal Adenomectomy

Surgical removal of benign adenomas of the adrenal gland.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Adrenal Adenomectomy?

Adrenal adenomectomy is the surgical removal of benign (adenoma) masses of the adrenal gland. Hormonally active adenomas (aldosteronoma, cortisol-producing, pheochromocytoma) or nonfunctional adenomas 4 cm or larger are usually surgical candidates.

Laparoscopic adrenalectomy has become the gold standard, providing less pain, early mobilization, and short hospital stay. The retroperitoneoscopic technique is widely used in experienced centers.

Preoperative endocrine evaluation, optimization of hypertension and electrolyte balance, and alpha blocker preparation in suspected pheochromocytoma are critical.

Symptoms

Uncontrolled hypertension
Hypokalemia and muscle weakness (Conn syndrome)
Cushing features (monthly weight gain, purple striae)
Headache, palpitations, sweating (pheochromocytoma)
Hirsutism and menstrual irregularities
Incidentaloma — incidental mass detection
Weight loss and weakness (suspected malignancy)

Risk Factors

Genetic syndromes such as MEN2 and von Hippel-Lindau
Family history of pheochromocytoma
Primary hyperaldosteronism
History of Cushing syndrome
Detection of incidentaloma
Female sex (in nonfunctional adenomas)
Middle and older age

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Resistant hypertension and electrolyte disturbance
  • Paroxysmal attacks raising suspicion of pheochromocytoma
  • Findings of Cushing syndrome
  • Mass over 4 cm seen on imaging
  • Individuals requiring incidentaloma follow-up

Treatment Methods

01
Detailed hormonal evaluation
02
Preoperative alpha blocker for pheochromocytoma
03
Laparoscopic transperitoneal or retroperitoneoscopic adrenalectomy
04
Open surgery for large and invasive tumors
05
Oncologic resection principles when malignancy is suspected
06
Postoperative cortisol replacement (if needed)

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.