Laparoscopic Adrenalectomy in India

Two keyhole routes are used. In the transabdominal route, you lie on your side and the surgeon reaches the adrenal through the abdomen. In the posterior retroperitoneoscopic route, you lie face down and the surgeon approaches from the back, avoiding the abdominal organs.

Compared with open surgery, keyhole adrenalectomy usually means less pain, smaller scars and quicker return to normal activity. Surgeons experienced in this technique choose the route based on tumour size, side, body build and previous surgery.

How this approach differs

Compared with open adrenalectomy, the gland is removed through small ports rather than a long abdominal or flank cut, so pain and hospital stay are usually less. The posterior approach avoids the abdominal cavity and suits smaller tumours and people with previous abdominal surgery. Large or invasive tumours may still need open surgery. Keyhole adrenalectomy is widely practised in Indian endocrine and urology centres.

• AdrenalectomyStandard approach
• Robotic Adrenalectomy

Who needs laparoscopic adrenalectomy

• Benign adrenal adenomas causing Conn's or Cushing's syndrome
• Phaeochromocytomas of manageable size after medical preparation
• Non-functioning adrenal masses that are growing or larger in size
• Selected patients with both adrenals affected

How it is done

1. Hormone and imaging studies are completed; medicines prepare you if needed.
2. General anaesthesia is given; you are positioned on your side or face down.
3. Three or four small ports are placed.
4. The surgeon identifies and clips the adrenal vein early, especially in phaeochromocytoma.
5. The gland is freed and removed in a bag.
6. Ports are closed; most patients walk the same or next day.

Before you travel to India

• Completed hormone tests and adrenal CT or MRI
• Blood pressure and potassium records
• Any preparation medicines already started
• Previous abdominal surgery details

Recovery and flying home

• Hospital stay is often one to three days
• Pain is usually controlled with tablets
• Blood pressure and potassium are monitored
• Flying is usually possible within days of discharge
• Endocrinology follow-up checks hormone levels

Risks

• Bleeding
• Blood pressure swings
• Temporary adrenal insufficiency
• Conversion to open surgery
• Port-site hernia, uncommon

Alternatives

• Robotic adrenalectomy
• Open adrenalectomy for large or malignant tumours
• Medical treatment for hormone effects

Conditions treated

• Adrenal Tumour

Hospitals in India for laparoscopic adrenalectomy

• Medanta - The MedicityDelhi NCR
• AIG Hospitals, GachibowliHyderabad
• Aster MedcityKochi
• Artemis HospitalDelhi NCR
• Kokilaben Dhirubhai Ambani Hospital & Medical Research InstituteMumbai
• Indraprastha Apollo HospitalsDelhi NCR
• BLK-Max Super Speciality HospitalDelhi NCR
• Aster CMI HospitalBengaluru

How these hospitals compare

Specialists

• Dr Dheeraj KapoorKokilaben Dhirubhai Ambani Hospital

Frequently asked questions

Medically reviewed by The Curaventa Team. Last updated 2026-10-24. General information, not medical advice. Medical editorial board · Editorial policy · How we get prices