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Updated: Jan 21, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
06:08

A Novel Method: Super-selective Adrenal Venous Sampling

Published on: September 15, 2017

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Open adrenalectomy.

Radu Mihai1

  • 1Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

Gland Surgery
|August 13, 2019
PubMed
Summary
This summary is machine-generated.

Open adrenalectomy is reserved for large adrenal tumors (>8 cm) or suspected adrenal cancer. Centralizing this procedure in referral centers ensures specialized care for complex cases.

Keywords:
Adrenalectomysurgical technique

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Area of Science:

  • Surgical Oncology
  • Endocrinology
  • Abdominal Surgery

Background:

  • Minimally invasive adrenalectomy is standard for most adrenal tumors.
  • Open adrenalectomy is now indicated for specific complex cases.

Purpose of the Study:

  • To outline indications and techniques for open adrenalectomy.
  • To discuss the role of specialized centers for this procedure.

Main Methods:

  • Review of anatomical landmarks for right and left adrenalectomy.
  • Discussion of procedural steps for open adrenalectomy.

Main Results:

  • Open adrenalectomy is indicated for large phaeochromocytomas (>8 cm).
  • It's also indicated for cortical adrenal tumors with malignancy suspicion (size >4-6 cm or local invasion).
  • Multidisciplinary input may benefit selected patients.

Conclusions:

  • Open adrenalectomy should be centralized in regional referral centers.
  • Patient selection for open vs. laparoscopic approaches in suspected adrenocortical cancer requires further debate.