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  • Title
  • 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

Transperitoneal Laparoscopic Right Adrenalectomy for Cortical Adenoma

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Sonia Cohen, MD, PhD; Richard Hodin, MD
Massachusetts General Hospital

General Surgery

Procedure Outline

Table of Contents

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

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                    Authors

                    Filmed At:

                    Massachusetts General Hospital

                    Article Information

                    Publication Date
                    Article ID240
                    Production ID0240
                    Volume2023
                    Issue240
                    DOI
                    https://doi.org/10.24296/jomi/240