Removing the Adrenal Gland

The adrenal glands produce hormones that control many bodily functions, including blood pressure. They are located near the kidney and they are the size of a walnut.

When the adrenal glands become diseased, they may need to be removed. These diseases may include masses or tumors that secrete excess hormones. Adrenal masses that produce excess cortisol can cause a condition called Cushing's syndrome.

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How the Procedure Is Performed

When the adrenal glands need to be removed, an adrenalectomy can be performed laparoscopically. This is done by making four small incisions and inserting a long thin instrument called a laparoscope to help perform the procedure. The camera on the laparoscope helps the surgeon better see the surgical area. The adrenal gland is cut away from the kidney and the arteries and vein are clipped and divided.

Recovering From Surgery

Recovery from the procedure is minimal. Most patients go home the next day and can return to work and normal activities in one week. A follow-up visit with the surgeon is held two weeks after surgery.

Removing the Spleen

The spleen filters bacteria out of the blood and removes damaged and old blood cells. It is located in the abdomen next to the stomach.

When the spleen becomes diseased, it can affect the number of blood cells and platelets circulating in the body. Removing the spleen is sometimes needed to improve certain conditions, such as low platelet count and low red blood cell count. It can also be used to treat other disorders such as sickle cell disease, leukemia and certain types of lymphoma.

How the Procedure Is Performed

A splenectomy is performed to remove the spleen. It is done laparoscopically by making four small incisions and then inserting a long thin instrument called a laparoscope. The camera on the laparoscope helps the surgeon better see the surgical area. The spleen is cut away from where it is attached to the stomach and large intestine. The blood vessels to the spleen are stapled and divided.

Recovering From Surgery

Most patients return home one or two days after surgery and return to work and normal activities in approximately one week. A liquid diet is required after surgery and lasts until the patient can tolerate a regular diet. Pain medication is given as needed. A follow-up visit with the surgeon is held two weeks after surgery.