Left Laparoscopic Adrenalectomy: From Procedure to Recovery Explained
PACE Hospitals
Overview
Left Laparoscopic Adrenalectomy is a minimally invasive surgical procedure performed to remove the left adrenal gland, usually affected by a tumour, hyperfunctioning nodule, or other adrenal pathology. The adrenal glands, located on top of each kidney, play a critical role in hormone production — regulating blood pressure, metabolism, and stress response.
At PACE Hospitals, Hyderabad, our endocrine surgeons and urologists perform advanced laparoscopic and retroperitoneoscopic adrenalectomy using cutting-edge technology for faster recovery, minimal scarring, and optimal hormonal balance restoration.
This guide explains the causes, indications, surgical process, cost, recovery, and modern approaches used at PACE Hospitals.
Understanding the Adrenal Glands
The adrenal glands consist of cortex & medulla:
- Cortex – It is the outer layer that produces steroid hormones, including cortisol, aldosterone, and androgens
- Medulla – It is the inner part of the adrenal gland that produces adrenaline and noradrenaline
Tumour or dysfunction of these glands can cause major metabolic and cardiovascular problems, requiring surgical excision.
Indications for Left Laparoscopic Adrenalectomy
Your doctor may recommend this procedure for conditions such as:
- Adrenal Adenoma (Benign Tumour) – Often found incidentally during imaging.
- Pheochromocytoma – A tumour that overproduces adrenaline, causing hypertension.
- Cushing’s Syndrome – Due to excess cortisol production.
- Conn’s Syndrome (Primary Aldosteronism) – Overproduction of aldosterone leading to high blood pressure (Hypertension) and low potassium.
- Adrenal Cancer or Metastasis – Malignant lesions affecting the adrenal gland.
- Non-functioning adrenal masses larger than 4 cm, with a potential for malignancy.
Pre-Operative Evaluation
Before surgery, patients go through a detailed evaluation at PACE Hospitals:
Surgical Procedure
Left laparoscopic adrenalectomy is performed under general anaesthesia through 3–4 small incisions (5–10 mm).
Step-by-Step Overview:
- Patient positioning: Right lateral decubitus (lying on the right side).
- Trocar placement: Ports are placed to allow camera and instrument access.
- Dissection: The spleen and the pancreatic tail are gently mobilised to expose the adrenal gland.
- Identification of the adrenal vein: The left adrenal vein is carefully clipped and divided.
- Gland removal: The adrenal gland with the tumour is dissected free and placed in a retrieval bag.
- Closure: The specimen is removed, and the small incisions are closed cosmetically.
Duration & Stay:
- Surgery time: 90–150 minutes
- Hospital stay: 2–3 days
- Full recovery: 10–14 days
Cost of Left Laparoscopic Adrenalectomy in Hyderabad
At PACE Hospitals, Hyderabad, the cost of Left Laparoscopic Adrenalectomy ranges between
₹1,80,000 and ₹2,80,000 (approximately USD 2,150 – 3,350),
depending on factors such as:
- Type and size of tumour
- Complexity of surgery (benign vs. malignant)
- Use of advanced energy devices or robotic assistance
- Room type and length of hospital stay
PACE Hospitals also provides cashless insurance support and EMI options for eligible patients to make treatment more accessible.
Advantages of Laparoscopic Adrenalectomy
Compared to traditional open surgery, laparoscopic adrenalectomy offers several benefits:
- Minimal incisions and less scarring
- Less post-operative pain
- Reduced intraoperative blood loss
- Quicker recovery and discharge
- Early return to normal activity
- Lower complication rates
PACE Hospitals employs 3D high-definition laparoscopic systems and energy-sealing instruments (Ligasure / Harmonic scalpel) for precision and safety.
Post-Operative Care
After surgery:
- Patients are monitored for blood pressure and hormone level changes.
- Pain is managed by using mild analgesics.
- Early ambulation and diet initiation within 24 hours.
- Regular follow-up with endocrinologist and surgeon is advised to ensure hormonal stability.
Patients with functional tumours may need temporary hormone replacement or dose adjustments post-surgery.
Risks and Possible Complications
While laparoscopic adrenalectomy is safe in expert hands, possible complications include:
- Bleeding or injury to nearby organs (spleen, pancreas, kidney)
- Hormonal imbalance (temporary)
- Infection or port-site hernia (rare)
- Adrenal insufficiency (requires hormonal support)
At PACE Hospitals, advanced intra-operative monitoring and surgical precision minimize such risks.
Recovery and Lifestyle After Surgery
Most of the patients can return to light activities within a week and full activity in two weeks.
PACE Hospitals recommends:
- Balanced diet rich in protein and fibre
- Attend regular hormonal follow-up assessments
- Avoiding stress and maintaining adequate hydration
- Monitoring blood pressure periodically
Patients who undergo adrenalectomy for hypertension-related problems frequently experience significant improvements in blood pressure control following surgery.
Why Choose PACE Hospitals for Adrenal Surgery in Hyderabad?
- Specialized Endocrine Surgery Unit led by highly skilled and experienced laparoscopic surgeons
- Complete, multidisciplinary care involving endocrinologists, urologists, and anaesthesiologists
- Advanced technology, including 3D laparoscopy and robotic-assisted surgery
- 24×7 ICU support and expert management
- Customised post-surgery hormone regulation plans
FAQs on Left Laparoscopic Adrenalectomy (Adrenal Gland Removal)
What is left laparoscopic adrenalectomy?
Left laparoscopic adrenalectomy is a minimally invasive procedure done to remove the left adrenal gland, usually performed for tumours or hormone-producing lesions.
Why is laparoscopic adrenalectomy preferred over open surgery?
Laparoscopic adrenalectomy offers smaller incisions, faster recovery, minimal pain, and better cosmetic results compared to open surgery.
How long does adrenalectomy surgery take?
Typically, it takes 1.5 to 2.5 hours depending on the tumour size and anatomy. Most patients are discharged within 2–3 days.
What is the cost of left laparoscopic adrenalectomy in Hyderabad?
At PACE Hospitals, the cost ranges between ₹1,80,000 and ₹2,80,000 (USD 2,150 – 3,350), depending on tumour complexity and room type.
Is adrenalectomy painful?
This procedure is performed under general anaesthesia, so patients do not feel pain during surgery. Post-operative discomfort is minimal and well-managed.
Can both adrenal glands be removed?
In rare cases, yes — for specific hormonal conditions. However, lifelong hormone replacement becomes necessary if both are removed.
What are the risks associated with adrenalectomy?
Minor risks include bleeding, infection, or transient hormone imbalance. These are extremely rare at specialised centres like PACE Hospitals.
How soon can patients return to work after laparoscopic adrenalectomy?
Most patients return to normal work within 7–10 days after surgery. However, heavy lifting should be avoided for two weeks.
Does blood pressure normalise after adrenalectomy?
Yes, patients with Conn's syndrome or pheochromocytoma often experience improved or normalised blood pressure post-surgery.
Why choose PACE Hospitals for adrenal surgery in Hyderabad?
PACE Hospitals offers expert endocrine surgeons, advanced 3D laparoscopy, seamless hormone management, and personalised post-operative care.
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