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By ANTHONY J. SENAGORE, M.D.

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Mattox, R. D. Beauchamp, B. M. Evers, and D. C. Sabiston. Sabiston’s Review of Surgery, 3rd Edition. Philadelphia: Saunders, 2001. PERIODICALS Cmejrek, R. , J. M. Coticchia, and J. E. Arnold. ” Archives of Otolaryngology Head and Neck Surgery, 128(12) 2002: 1361–1364. Douglass, A. , and J. M. Douglass. ” American Family Physician, 67(3) 2003: 511–516. Usdan, L. , and C. Massinople. ” Tennessee Medicine, 95(11) 2002: 463–464. Wang, L. , W. R. Kuo, C. S. Lin, K. W. Lee, and K. J. Huang. ” Kaohsiung Journal of Medical Sciences, 18(8) 2002: 386–392.

Org>. M. Adrenal gland removal see Adrenalectomy Adrenalectomy Definition Adrenalectomy is the surgical removal of one or both adrenal glands. The adrenal glands are paired endocrine glands—one located above each kidney—that produce hormones such as epinephrine, norepinephrine, androgens, estrogens, aldosterone, and cortisol. Adrenalectomy is usually performed by conventional (open) surgery; however, in selected patients, surgeons may use laparoscopy. With laparoscopy, adrenalectomy can be accomplished through four very small incisions.

Laparoscopic adrenalectomy This technique does not require the surgeon to open the body cavity. 27 cm] diameter each) are made into a patient’s flank, just under the rib cage. A laparoscope enabling the surgeon to visualize the inside of the abdominal cavity on a television monitor is placed through one of the incisions. The other incisions are for tubes that carry miniaturized versions of surgical tools. These tools are designed to be operated by manipulations that the surgeon makes outside the body.

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