Adrenalectomy

Adrenalectomy
The removal of one
or both adrenal glands
• Indications
• Tumor removal
• Approaches
• Laparoscopic
• Abdonminal
• retroperitoneal
• Small tumor
• Nonmalignant
• Open
• Flank incision
• Large tumor
• Malignancy

Nephrectomy
• Subtotal (Partial) Nephrectomy
• Indications
• Biopsy
• Small cancers
• Impacted calculi
• Traumatic injury
• Upper or lower poles only
• Approach
• Flank
• Renal cooling
FlankIncision
Subtotal Nephrectomy

• Total Nephrectomy
• Simple
• Flank incision
• Polycystic disease
• Nonmalignant tumors
• Harvest for transplantation
• Radical
• Abdominal approach
• Malignant tumors
Simple Nephrectomy
Abdominal Approach
Renal Transplant
• Sources
• Living relatives
• Non-related living donors
• Cadavers
• Brain dead individuals
• Advance directive
• Family authorization

Procurement
• Cadaver
• Midline incision
• Both kidneys are taken
• Preserving vessel and ureter length
• Living donor
• Simple nephrectomy
• Left kidney
Recipient Operations
• Pt gets dialysis
• Adult
• Gibson incision
• Child
• Midline abdominal incision