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Laparoscopic and Robotic Adrenalectomy

CAMC Physician's Group - Urology logo

The adrenal gland is located above the kidneys. Its functions include producing hormones that help regulate stress response and blood pressure. Reasons for removing the adrenal gland include the presence of an abnormal growth and inappropriate hormone production.

Please bring all recent laboratory and imaging studies with you to your preoperative appointment, including the CD of any recent CT or MRI studies.

As part of the evaluation of your adrenal gland, your urologist may order additional blood and urine tests.

Prior to the procedure
Medications to avoid one week prior to surgery include:

  • Aspirin
  • Motrin
  • Ibuprofen
  • Advil
  • Coumadin
  • Lovenox
  • Celebrex
  • Plavix

Our office will instruct you specifically on which medications you should stop.
You will need to verify that you can stop these medications with the prescribing physician.

Bowel prep for adrenalectomy

      1. It is very important that you follow a clear liquid diet the day before your procedure. Clear liquids include any liquid you can see through.
         
However, it is ok to drink coffee.
      2. You will need to pick up one bottle of magnesium citrate at your local pharmacy and begin drinking this around 10 a.m. the day before your procedure.
      3.
You will need to pick up a fleet enema at your local pharmacy and use this the evening before your procedure.
      4.
If you have any questions, please contact your urologist.

The procedure
The procedure will be performed through 3-4 small laparoscopic incisions and will take about 3-4 hours to complete. Most patients stay in the hospital for 1-2 days following the procedure.

Potential complications include bleeding, infection, adjacent organ injury, and the need to convert to an open procedure.

After the procedure
Your diet can be gradually advanced following your procedure. Your urologist will discuss the final pathology of your procedure at your post operative appointment.

Physicians performing this procedure:
Samuel Deem, DO
James P. Tierney, DO

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