Robotic-Assisted Left Adrenalectomy

1. Introduction

1. Discuss Patient Positioning
2. Mark Port Positions

2. Access to the Abdominal Cavity and Placement of Ports

1. Insufflation
2. Place Optiview Trocar
3. Place 8-mm Robotic Trocars
4. Place 5-mm Assistant Trocar

3. Robot Docking

4. Access to Retroperitoneum

1. Adhesiolysis
2. Divide Peritoneum
3. Mobilization of Spleen and Pancreas
4. Mobilization of Distal Transverse Colon and Splenic Flexure
5. Identify Phrenic Vein and Follow Through Retroperitoneum

5. Left Adrenal Gland Exposure and Dissection

1. Identify Kidney and Dissect Along Border with Adrenal Gland
2. Left Adrenal Vein Identification and Division Using Electrocautery
3. Complete Resection of Adrenal Gland

6. Final Check for Hemostasis

7. Adrenal Gland Extraction

8. Closure

9. Post-op Remarks and Examination of Tumor