Is adrenalectomy best performed with an open technique or the laparoscopic technique

Is adrenalectomy best performed with an open technique or the laparoscopic technique?

Laparoscopic adrenalectomy is the approach of choice for benign adrenal tumors except when very large (> 8 cm). Laparoscopic adrenalectomy has been associated with shorter hospital stay, less postoperative pain, less blood loss, faster recovery, and overall increased patient satisfaction compared with the open techniques. Open adrenalectomy and conversion from laparoscopic technique to open technique should be undertaken when malignancy is suspected.

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