There are currently two different types of minimally invasive (laparoscopic or ‘keyhole’) operations to remove adrenal glands performed worldwide.

These two types of operation are:

Transperitoneal laparoscopic adrenalectomy (often referred to simply as ‘laparoscopic adrenalectomy’)
Posterior laparoscopic adrenalectomy (often known as ‘retroperitoneoscopic adrenalectomy’).


In both operations surgical removal of the adrenal gland is performed by instruments inserted into the body using 3-4 small incisions (cuts), resulting in eventual scars around 1-2cm in size. In the retroperitoneoscopic operation the scars are on the back, whereas in the laparoscopic operation the scars are on the flank.

Whereas the laparoscopic operation is performed by many adrenal surgeons, the retroperitoneoscopic operation is performed by only a small number of surgeons in the UK. Mr Hardy is one of the few surgeons in the UK who performs both types of operation.

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