Laparoscopic vs. retroperitoneoscopic adrenalectomy
Laparoscopic surgery is the established method for key-hole surgery introduced in early 1990s. It offers safe approach for tumours up to 8-10 cm in maximum diameter but it can be challenging/impossible in patients with multiple previous abdominal operations.
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Retroperitoneoscopic adrenal surgery has been made popular by Professor Martin Walz - Essen, Germany with whom I trained . In the last 5 years I performed over 50 such operations, I trained several junior surgeons and mentored other Consultants interested in the technique.
In view of the small ‘working space’ this technique is restricted to smaller tumours up to 3-4 cm in maximum diameter and is the best approach for bilateral adrenalectomy.
Recently I edited a journal issue dedicated to different technical aspects of adrenal surgery (see journal).