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Situated
directly above the kidneys, hormone-producing adrenal
glands also can be removed through minimally invasive
surgery when tumors are present. Rather than making one
large incision to remove the gland, several small incisions
are made to perform an adrenalectomy by utilizing a laparoscope
and slender surgical instruments.
"The tiny camera attached to the
laparoscope allows us to visualize the area so that
we can remove the gland without affecting the adjacent
structures, including the pancreas, liver and spleen,"
explains surgeon Frank J. Borao, M.D., FACS, medical
director of The Center for Minimally Invasive Surgery.
"In the past, large incisions needed to be made to
give us the exposure we needed to prevent any injury
to those vital structures."
This state-of-the-art approach also reduces
the risk of scarring, hernia and postoperative pain,
and leads to a shorter hospital stay and a recovery period
that lasts several days, instead of several weeks.
Adrenal tumors - the majority of which
are benign - develop on the gland when it produces an
excess amount of hormones, which can lead to metabolism
problems and high blood pressure. |
A state-of-the-art approach to the removal of cancerous kidneys
at Monmouth Medical Center is benefiting patients by significantly
reducing pain and potential complications, as well as their hospital
stays.
Hand-assisted laparoscopic nephrectomy allows surgeons to remove
a kidney through a three-inch incision - an opening large enough
for a surgeon's hand to manipulate the diseased organ. This is
an alternative to standard surgery, which requires a 10- to 20-inch
incision in the abdomen and, frequently, the removal of the patient's
12th rib.
Introduced at The Center for Minimally Invasive Surgery at Monmouth
by urologist Y. Samuel Litvin, M.D., and medical director Frank
J. Borao, M.D., the procedure has proven highly effective for treating
the cancer while causing minimal discomfort to patients, who recover
much quicker than those undergoing open procedures.
Monmouth Medical Center is the first hospital in central New Jersey
to offer patients this treatment option for kidney cancer.
"Hand-assisted laparoscopic nephrectomies are a lot more
patient friendly and represent a real change in the approach to
renal carcinomas," Dr. Litvin says. "The ability to manipulate
the diseased kidney by hand gives us the tactile information and
depth perception that were missing with the standard laparoscopic
procedures."
 For
patients requiring urologic surgery, the benefits of the laparoscopic
approach are numerous, Dr. Borao explains. "Compared to conventional
surgery, the laparoscopic approach permits smaller skin incisions,
less pain medication, faster healing, shorter recovery time and
a quicker return to normal activities or work."
For more information on laparoscopic nephrectomy for kidney removal
or laparoscopic adrenalectomy, call Monmouth Medical Center at
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Urological Surgery
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