ADRENALECTOMY (LAPAROSCOPIC)
Indication: Adrenal adenoma (Conn's syndrome/primary aldosteronism — unilateral), phaeochromocytoma (after adequate alpha-blockade and beta-blockade), Cushing's syndrome from adrenal adenoma, adrenal incidentaloma with functional or malignant features, and lesions <6 cm without evidence of invasiveness.
Patient Position: Full lateral decubitus (affected side up) with the table flexed.
Anaesthesia: General. For phaeochromocytoma: specialist anaesthetic team with arterial line, Foley catheter, and vasoactive drugs immediately available.
Prophylactic Antibiotics: Per local protocol.