adrenal-sparing surgery
Surgical technique that preserves normal adrenal tissue while removing pheochromocytomas or other adrenal lesions.
Full Definition
Adrenal-sparing surgery represents a tissue-preserving surgical approach that removes adrenal tumors while maintaining functional adrenal cortical tissue. This technique is particularly valuable in patients with hereditary syndromes at risk for bilateral disease, those with solitary adrenal glands, or when bilateral intervention might be needed in the future. The procedure requires careful dissection to preserve vascular supply to remaining adrenal tissue and adequate tumor-free margins. Success depends on tumor location, size, and relationship to normal adrenal architecture. Post-operative assessment includes evaluation of residual adrenal function and long-term surveillance for recurrence.
Usage
Usage note: Specify percentage of preserved tissue when possible.
In Context
- "Adrenal-sparing surgery was successfully performed for the 2-cm pheochromocytoma with preservation of 70% of adrenal tissue." — Operative report
- "The VHL patient underwent adrenal-sparing surgery to maintain function given the risk of future contralateral disease." — Surgical planning