Adrenal gland surgery
Surgeries/General/Adrenal gland surgery

Adrenal gland surgery

Removal of tumours of the adrenal glands, most often laparoscopically, in close coordination with the endocrinologist.

What is it?

The adrenal glands are two small glands located above the kidneys, which produce hormones essential to the regulation of blood pressure, metabolism and the stress response. Certain tumours of these glands, whether secreting (producing excess hormones) or not, require surgical removal: this is adrenalectomy. Secreting tumours can cause resistant high blood pressure, weight fluctuations, unusual fatigue or metabolic disturbances. Their removal most often durably corrects these hormonal disorders. The procedure is nowadays performed laparoscopically in the great majority of cases: this minimally invasive approach is particularly suited to these deep-seated glands, offering optimal precision, reduced pain and rapid recovery. Pre-operative medical preparation, carried out with the endocrinologist, is an essential step for secreting tumours. At Clinique Pasteur Tunis, adrenal surgery is conducted in close collaboration between surgeons, endocrinologists and anaesthetists, with advanced intra-operative monitoring and post-operative surveillance tailored to each patient's hormonal profile.
Adrenal gland surgery

When is it indicated?

Adrenal tumours secreting excess hormones

When a tumour of the gland produces too many hormones, it can disrupt blood pressure, weight or metabolism: its removal most often corrects these disorders durably.

Phaeochromocytoma

This particular tumour releases hormones that cause blood pressure to rise abruptly: after careful medical preparation, its removal eliminates the cause of the problem.

Large or suspicious adrenal tumours

An adrenal mass of significant size or unusual appearance on imaging is removed as a precaution, so that it can be analysed and any risk of progression ruled out.

Confirmed high blood pressure of adrenal origin

Some cases of hard-to-control high blood pressure originate from an adrenal gland: when the work-up confirms it, surgery often makes it possible to reduce, or even stop, treatment.

Progressive adrenal nodules discovered on imaging

A nodule discovered by chance that grows over successive check-ups justifies removal, a procedure nowadays performed gently by laparoscopy.

Preparation

1Complete hormonal work-up carried out with the endocrinologist
2Adrenal imaging (CT scan or MRI)
3Specific medication preparation for certain secreting tumours
4Anaesthesia consultation
5Fast for 6 hours before the procedure

Procedure

1

General anaesthesia with continuous blood pressure monitoring

2

Laparoscopic approach through small incisions

3

Careful dissection of the gland with early control of its vessels

4

Extraction of the gland in a protective bag

5

Closure of the incisions

6

Post-operative hormonal and blood pressure monitoring

Duration

1 hour 30 minutes to 3 hours

Aftercare & Recovery

Recovery is quick thanks to laparoscopy: discharge after a few days and return to activities within one to two weeks. Hormonal disorders most often correct themselves gradually. Endocrine follow-up is organised, with possible adjustment of hormone treatment depending on the case.

Risks and side effects

Intra-operative blood pressure variations anticipated and controlled by the anaesthesia team
Possible need for hormone replacement therapy, assessed by the endocrinologist
Surgical risks limited by the minimally invasive approach

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: 1 hour 30 minutes to 3 hours
Preparation: Required
Dedicated specialist team