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Dr. Alexander Shifrin MD FACS FACE
adrenal surgery
adrenal gland
Tumors of the adrenal glands


Tumors of the adrenal glands are rare. When present, they can cause a multitude of disorders by excessively secreting certain adrenal gland produced hormones. However most of them are not producing any hormones. Non hormone producing (non-functional) adrenal tumors are called incidentaloma. Only a small percent of adrenal tumors are cancerous. Growing of the adrenal tumor is always worrisome sign of adrenal cancer (adrenocortical carcinoma). An adrenal tumor that is growing has to be surgically removed. Tumors that are bigger then 4 cm also have to be removed for the same reason — to rule out or cure cancer.

Adrenal Surgery by Dr. Shifrin

Atlas of Adrenal Surgery Book Cover

New Book, Atlas of Adrenal Surgery, Now Available!

This new atlas by Dr. Alexander Shifrin is designed to present a comprehensive and state-of the-art approach to single surgical procedure - adrenal glands surgery.

Atlas of Adrenal Surgery:

Atlas of Adrenal Surgery 1st ed. Springer, 2019 Edition. ISBN-13: 978-3030017866, ISBN-10: 3030017869, ISBN 978-3-030-01787-3: Hardcover, eBook, and Kindle editions.

The idea of this surgical atlas is to bring expertise of adrenal surgery to all surgeons performing, or learning how to perform successful adrenalectomy procedure, and to illustrate different techniques of adrenalectomy that are performed by different renown surgeons. The atlas illustrates several different approaches to adrenalectomy, which include more commonly used anterior lateral adrenalectomy and more advanced newer techniques of posterior retroperitoneoscopic and robotic adrenalectomies. This atlas emphasizes different approaches and ways to perform the same procedure. Specifically how the same procedure could be successfully completed by different surgeons with specific details of each technique. Each approach is presented by three different expert-surgeons illustrating three different techniques of procedure, including single-site approach. Different surgeons have different “tricks” on how to perform this type of procedure successfully. Each chapter presents procedures that are performed and illustrated by a different single surgeon. All authors are members of American Association of Endocrine Surgeons (AAES) and are experts in this specific technique. This atlas includes 18 chapters and illustrates traditional open approach, anterior lateral right and left adrenalectomy approaches, and more advanced state-of the-art posterior retroperitoneoscopic right and left adrenalectomies (including single port procedure) and robotic adrenalectomies. The text includes extensive illustrations and links to video of all procedures making this an interactive text.

Atlas of Adrenal Surgery represents the first single source to provide information on technique and outcomes for a diversity of endocrine surgeons, minimally invasive laparoscopic surgeons, surgical oncologists, urologists and general surgeons.

To purchase, please visit one of the following links:

Barnes and Noble

The Latest and Most Advanced Treatment Option for Laparoscopic Adrenalectomies: The Posterior Retroperitoneoscopic Approach.

The posterior retroperitoneal approach from the back allows for performing truly minimally-invasive laparoscopic surgery in comparison to the laparoscopic trans-abdominal approach from the front. By approaching from the back, it eliminates the need to mobilize the liver, spleen, and or tail of the pancreas, making the surgical approach much easier for the patient.

Key Patient Benefits from the Posterior Laparoscopic Approach

  • Significant reduction in pain resulting in increased satisfaction with procedure
  • Faster recovery time as patients have ability to return to regular routine hours after surgery
  • Minimized visibility of the scar See section adrenal gland surgery