A history of previous abdominal operations. If a patient has had previous abdominal operations then the laparoscopic adrenalectomy can be more technically difficult. This is NOT a contraindication to this advanced procedure since surgeons who perform this are typically very good at operating through a scope so they can usually deal with the scars inside the abdomen which are a normal result of previous operations. This presence of abdominal scars and their locations will be considered, however, when deciding who can have a laparoscopic adrenalectomy. The surgeon's experience with different operations.
Surgeons tend to do what they do well.
This is not a bad thing at all, since it results in the patient receiving the best care available. Laparoscopic adrenalectomy was developed in the mid 1990's so it is NOT performed by all surgeons. In fact, it performed by a small minority of surgeons who perform other types of laparoscopic surgery such as gall bladder removal and acid reflux procedures. Copyright 1997, 1998.