Robotic Surgery for Adrenal Adenoma, Pheochromocytoma and Adrenocortical Carcinoma
Robotic adrenalectomy may be required for tumors of the adrenal gland, including nonfunctional adenomas, functioning adenomas causing Conn’s or Cushing’s syndrome, pheochromocytoma, or adrenocortical carcinoma. In certain instances partial adrenalectomy may be performed. Because of the close proximity of the adrenal gland to the kidney, robotic-assistance for adrenal surgery is nearly identical to the techniques utilized in robotic partial and radical nephrectomy. In the case of a highly functional pheochromocytoma, where early control of the adrenal vein is necessary to prevent further release of metanephrines during the surgical dissection, the robotic approach offers additional advantages with the ability to perform meticulous vascular dissection of even small, delicate veins. For more information on how a robotic adrenalectomy is performed see Robotic Radical Nephrectomy and Robotic Partial Nephrectomy.