LAPAROSCOPIC ADRENALECTOMY

Traditional adrenalectomy usually required long incisions that causes considerable pain and morbidity, Adrenal tumours are ideal for laparos copic removal because they are usually small, benign and no reconstruc tion is needed, Various laparoscopic approaches have been described, E arly reports of laparoscopic adrenalectomy described the lateral trans abdominal approach, The extraperitoneal approach needed an artificial space to work, Our unit used the anterior transabdominal approach beca use it provided clear anatomical landmarks and early control of adrena l veins is possible, Initial results from various authors showed encou raging results, Although the operative time is longer the time to resu me diet and mobilization is shorter when compared to open surgery, As experience gained, the operative time can be shortened, We believed th at with proper preoperative assessment and preparation, laparoscopic a drenalectomy is safe and feasible.