Laparoscopy refers to using multiple small incisions to perform surgery with tools. Laparotomy is a single large incision that allows the surgeon to access the tumor directly and remove it by hand. You might hear surgery ‘en bloc’ in medical articles. It leaves a L-shaped scar on the abdominal region.
In case of ACC suspicion, recommendation is to perform a laparotomy if the mass is over 6cm. However, this point is still under debate and your medical team’s recommendation may differ according to your case.