Since 1992, laparoscopic adrenalectomy has become a viable option for removal of adrenal pathology and is becoming preferred over the conventional open technique.<sup>7 Gagner M., Lacroix A., Bolte E. Laparoscopic adrenalectomy Surg Endosc 1993 ;  7 : 122

Cliccare qui per andare alla sezione Riferimenti, 8 Gagner M., Lacroix A., Bolte E. Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma N Engl J Med 1992 ;  327 : 1003

Cliccare qui per andare alla sezione Riferimenti, 10 Gagner M., Lacroix A., Prinz R. , e al. Early experience with laparoscopic approach for adrenalectomy Surgery 1993 ;  114 : 1120

Cliccare qui per andare alla sezione Riferimenti, 13 Higashihara E., Tanaka Y., Horie S. , e al. A case report of laparoscopic adrenalectomy Jpn J Urol 1992 ;  83 : 1130

Cliccare qui per andare alla sezione Riferimenti, 15 Higashihara E., Tanaka Y., Nutahara , e al. Laparoscopic adrenalectomy: Technical review Jpn J Urol 1992 ;  5 : 150

Cliccare qui per andare alla sezione Riferimenti</sup> With the conventional technique, many approaches are available, which vary according to pathology, diameter of the adrenal mass, location of the lesion, and patient morphology.<sup>25 Vaughan E.D. Adrenal surgery Atlas of Urologic Surgery Philadelphia: WB Saunders (1991). 

Cliccare qui per andare alla sezione Riferimenti</sup> Knowledge of anatomy is essential, as meticulous hemostasis and delicate tissue handling are necessary to make adrenal surgery a success.<sup>19 Prinz R.A. Mobilization of the right lobe of the liver for right adrenalectomy Am J Surg 1990 ;  159 : 336  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti</sup> Adequate work-up and localization of the pathology and confirmation of the diagnosis by endocrinologists are critical.