Dr. Amit Goel

Adrenalectomy and Retroperitoneal Tumour Excision

Overview

Adrenal and retroperitoneal tumours require precise diagnosis and expert surgical management to ensure safety, faster recovery, and long-term health. Our urology center specializes in laparoscopic and robotic adrenalectomy, along with retroperitoneal tumour excision, offering patients the latest, minimally invasive solutions with superior outcomes.

An Adrenalectomy is a surgical procedure to remove one or both adrenal glands. It is typically performed to treat:

  • Adrenal tumours (benign or malignant)
  • Hormone-producing tumours such as pheochromocytoma, aldosteronoma & cortisol-secreting tumours
  • Adrenal metastasis
  • Large adrenal masses causing symptoms or complications

Modern adrenalectomy is performed using laparoscopic or robotic techniques, ensuring minimal pain and quicker return to daily activities.

Retroperitoneal tumour excision involves removing abnormal growths located in the retroperitoneal space—the area behind the abdominal organs where kidneys, adrenal glands, and major blood vessels reside.

You may need this procedure for:

  • Solid tumours near the kidneys or adrenal glands
  • Nerve sheath tumours
  • Sarcomas
  • Lymphangiomas or benign cystic masses
  • Recurrent or previously treated retroperitoneal lesions

Early removal ensures better outcomes and prevents compression of vital structures.

Common signs include:

  • Persistent high blood pressure
  • Unexplained weight gain
  • Excess sweating or palpitations
  • Hormonal imbalance
  • Abdominal or back pain
  • Feeling of fullness or a detected mass during imaging

If you experience any of these symptoms, timely evaluation from a urology specialist is essential.

We use advanced diagnostic tools to confirm adrenal or retroperitoneal tumours:

  • CT Scan / MRI
  • Hormonal blood tests
  • PET-CT (if needed)
  • Ultrasound
  • 24-hour urine hormonal analysis
  • Fine Needle Aspiration (in select cases)

A personalized treatment plan is created based on tumour size, behaviour, and the patient’s overall health.

1. Laparoscopic / Robotic Adrenalectomy

  • 3–4 small keyhole incisions
  • Removal of adrenal gland with high precision
  • Less pain, minimal stitches, and faster recovery

2. Retroperitoneal Tumour Excision

  • Access through the retroperitoneal space
  • Avoids opening the abdominal cavity
  • Ideal for tumours located behind kidneys or near major vessels
  • Performed using minimally invasive or open surgery depending on tumour size

Our surgeon ensures complete removal of the tumour while preserving surrounding healthy tissues.

  • Smaller incisions, minimal scarring
  • Less blood loss
  • Reduced postoperative pain
  • Faster recovery & early discharge
  • Quick return to routine activities
  • Better visualization in robotic/laparoscopic techniques

Although safe, all surgeries carry some risks:

  • Bleeding
  • Infection
  • Hormonal fluctuations
  • Damage to nearby structures (rare)
  • Conversion to open surgery (if required)

     

Our team uses strict safety protocols to minimize risks and ensure excellent outcomes.

If you or a loved one needs a kidney transplant, consult Dr. Amit Goel, a trusted Urologist & Kidney Transplant Specialist, to discuss robotic or open transplant options and donor procedures.

📍 C2/902, Parsvnath Exotica, DLF Phase 5, Sector 53, Gurugram, Haryana 122003  

📞 +91 84470 18167

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