An extended Kocher incision for bilateral adrenalectomy

The anterior approach for excision of the adrenal glands is preferred when dealing with phenochromocytoma, carcinoma, lesions greater than 6 cm in diameter, or when upper abdominal exposure is necessary for intraabdominal procedures to be performed simultaneously with adrenalectomy. We describe an extended Kocher incision for bilateral adrenalectomy and abdominal exploration. This affords excellent exposure and wound healing without incurring total denervation of the upper abdomen. We recommend it as the optimum anterior approach to the adrenal glands.