PREPRINT

  • 1. Introduction
  • 2. Surgical Approach
  • 3. Access and Placement of Ports
  • 4. Adrenal Gland Exposure
  • 5. Right Adrenal Gland Dissection
  • 6. Adrenal Gland and Ports Extraction
  • 7. Gross Examination of Specimen
  • 8. Closure
  • 9. Post-op Remarks
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Transperitoneal Laparoscopic Right Adrenalectomy for Cortical Adenoma

Richard Hodin, MD
Massachusetts General Hospital

Procedure Outline

  1. Mark Trocar Positions
  2. Inject Local Anesthetic
  1. Incision
  2. Hasson Port Placement
  3. Insufflation
  4. Laparoscopic Abdominal Cavity Exploration
  5. Placement of Ports
  6. Adhesiolysis
  1. Mobilization of Right Lobe of Liver Through Division of Triangular Ligament
  2. Peritoneal Incision and Dissection Towards Psoas Muscle
  1. Right Adrenal Vein Identification, Clipping, and Division
  2. Final Check for Hemostasis