Overall, patient outcomes were superior with the PRA approach, notably: In the trial, sixty-five patients were randomized into two arms, sixty-one of whom completed 5 years of follow-up. Even though we have two adrenal glands, one normal gland is enough to provide fully normal hormonal function.Ī clinical trial published in the Annals of Surgery reported that outcomes using PRA were superior to lateral transperitoneal laparoscopic adrenalectomy and open transperitoneal surgery, the traditional approaches for removing adrenal tumors through the abdomen. The adrenal medulla makes catecholamines (i.e. The center of the adrenal gland is the adrenal medulla. The adrenal cortex makes important hormones that balance the water and salt in the body and help maintain normal blood pressure normal, including steroids. The outer layer of the adrenal gland is the adrenal cortex. One adrenal gland sits on top of each kidney. There are two adrenal glands, each shaped like a triangle. ![]() PRA is a minimally invasive procedure where adrenal gland masses are removed through small incisions in the back rather than through the abdomen, the traditional approach. ![]() UCSF endocrine surgeons now offer patients with adrenal tumors and cysts a new state-of-the-art surgical procedure, the posterior retroperitoneoscopic adrenalectomy (PRA).
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