ABSTRACT

Bartolomeo Eustachius first described the anatomy of the adrenal gland in 1563 [1]. In 1886, Fraenkel was the first to describe a patient with an adrenal tumor [2]. The first description of laparoscopic adrenal surgery in the literature was by Higashihara in 1992 using an abdominal lift technique combined with CO2 insufflation [3]. Gagner went on to popularize the currently used technique later in 1992 [4]. In the last 10 years, the laparoscopic approach has evolved to become the standard of care for removal of the adrenal gland in most situations. Laparoscopic adrenalectomy is a safe and effective procedure with morbidity rates of less than 11% and mortality rates less than 1% [5].