Adrenal surgery - why, when, how?

Advocating for safe adrenal surgery

Adrenal surgery is a highly specialised operation. Some 800 such operations are performed every year in the United Kingdom.

Access to centers with significant experience in this procedure is limited and the operation is frequently offered by surgeons who operate only 1-5 cases/year.

Public expectations, consenting rules and professional probity require a change in the current provision of surgical care for adrenal tumours.

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I am Consultant Endocrine Surgeon at Oxford University Hospitals NHS Foundation Trust.

Having performed over 500 adrenal operations to date, I have developed a particular expertise in laparoscopic and retroperitoneoscopic adrenal surgery and in complex open adrenal surgery for advanced adrenocortical cancer.

This site aims to provide answers to common questions or concerns faced by patients in need of adrenal surgery.

I would be very happy to answer your queries.

Radu Mihai

President of BAETS

Areas of Practice


Laparoscopic (keyhole) adrenal surgery

Most patients needing adrenal surgery will benefit from minimally invasive keyhole surgery.

Retroperitoneoscopic adrenal surgery

Selected patients with small adrenal tumours and those who had numerous abdominal operations that would make it more difficult to operate ‘from the front’ can benefit from this approach.

Open adrenal surgery

Patients with large tumours and those with adrenocortical cancer need a more extensive operation that can only be achieved through open surgery.


Recent publications on adrenal topics (for full details visit www.radumihai.info)

Recent publications on adrenal topics (for full details visit www.radumihai.info)

Uses promptos facit’ - ‘practice makes perfect