- Intraoperative injury to the spleen – organ sparing attempt, otherwise splenectomy
- Injury to the left renal vein with intraoperative hemorrhage
- Hormone reaction; in particular, catecholamine related intraoperative cardiovascular dysregulation in pheochromocytoma
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Intraoperative complications
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Postoperative complications
- Injury to pancreatic tail with formation of fistula or abscess
- Adrenal crisis in insufficient postoperative corticoid replacement therapy. Postoperatively it may take up to six months before the remaining healthy adrenal, which had been suppressed until surgery, will have recovered enough to function normally.
- Markedly increased morbidity (wound infection, pneumonia, thromboembolism) and mortality in Cushing syndrome
- Persistent arterial hypertension in Conn syndrome
- Chronic subcostal neuralgia if the trocars are inserted too close to the most inferior rib
- Trocar site hernia