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Transperitoneal Laparoscopic Right Adrenalectomy for Cortical Adenoma

Richard Hodin, MD
Massachusetts General Hospital

1. Introduction

2. Surgical Approach

  1. Mark Trocar Positions
  2. Inject Local Anesthetic

3. Access and Placement of Ports

  1. Incision
  2. Hasson Port Placement
  3. Insufflation
  4. Laparoscopic Abdominal Cavity Exploration
  5. Placement of Ports
  6. Adhesiolysis

4. Adrenal Gland Exposure

  1. Mobilization of Right Lobe of Liver Through Division of Triangular Ligament
  2. Peritoneal Incision and Dissection Towards Psoas Muscle

5. Right Adrenal Gland Dissection

  1. Right Adrenal Vein Identification, Clipping, and Division
  2. Final Check for Hemostasis

6. Adrenal Gland and Ports Extraction

7. Gross Examination of Specimen

8. Closure

9. Post-op Remarks