RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187823412
T1 Adrenalectomy, Left Laparoscopic
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187823412
RD 2023/05/30
AB The  presence  of  cortical  or  medullary  tumors  of  a  benign  nature  is  a  well-established  indication  for  unilateral  laparoscopic  adrenalectomy.  These  tumors  may  be  functional  and  produce  cortisol,  aldosterone,  catecholamines,  and  rarely  testosterone  and  other  sex  hormones.  In  many  cases,  the  tumors  are  nonfunctional  and  are  removed  because  of  the  concern  for  cancer  or  growth.  In  these  situations,  the  adrenal  mass  is  frequently  found  during  abdominal  imaging  done  for  unrelated  indications.  These  so-named  adrenal  incidentalomas  generally  should  be  removed  if  they  have  a  cross-sectional  diameter  of  4  cm  or  greater  or  if  they  are  proven  to  be  functional.  Patients  with  nonfunctional  adrenal  masses  smaller  than  4  cm  without  concerning  radiographic  features  should  be  followed  with  periodic  imaging  to  monitor  changes  in  the  size  of  the  mass.