Treatment options and laparoscopy for adrenal tumor
An adrenal tumor refers to
cancerous or non-cancerous growths on the adrenal gland. Studies indicate that
most adrenal tumors are benign, causing no apparent abnormalities. However, the
cancerous tumor may cause an imbalance in one or more hormones. These hormones
mainly include cortisol, aldosterone, dopamine, epinephrine, and
norepinephrine.
Why is laparoscopic adrenalectomy preferred?
Since the last decade,
laparoscopy is a gold standard for the treatment of adrenal tumors. However, it
is a complex procedure that requires expertise. Small benign tumors often do
not need any surgical procedure, and they appear in MRI or CT scans for an entirely
different reason. More than this classification, tumors are classified as
functioning and non-functioning tumors. Large-sized functioning tumors should
be removed, and small non-functioning tumors are set to periodical observation
for their size and hormonal imbalance.
Laparoscopy for adrenal tumor is
recommended if the cancer is small and benign. By small size, we mean less than
5 cm. However, according to some recent studies, laparoscopic adrenalectomy can
also be performed for pheochromocytomas. It proves to be effective and safe
with a tumor or diameter of more than 5cm. Laparoscopy may be transperitoneal
or retroperitoneal. The treatment type depends upon the surgeon and his
expertise. However, retroperitoneal is preferred in which the surgeon does not
have to deal with the abdominal organs. Hence, laparoscopic adrenalectomy in Pakistan is the most preferred treatment because it.
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